Provider Demographics
NPI:1871841627
Name:ROBERT B. CUCINOTTA MD INC.
Entity Type:Organization
Organization Name:ROBERT B. CUCINOTTA MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:CUCINOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-867-2834
Mailing Address - Street 1:1010 CEREAL AVE.
Mailing Address - Street 2:SUITE 209
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-2776
Mailing Address - Country:US
Mailing Address - Phone:513-867-2834
Mailing Address - Fax:513-867-2873
Practice Address - Street 1:1010 CEREAL AVE.
Practice Address - Street 2:SUITE 209
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-2776
Practice Address - Country:US
Practice Address - Phone:513-867-2834
Practice Address - Fax:513-867-2873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35058438207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty