Doctor Name: | CLIFFORD QUINN CABANSAG |
NPI Number: | 1003065905 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35.099392 |
Business Practice Address: | 4075 Old Western Row Rd Mason, OH - 450403104 |
Business Phone Number: | 5135360232 |
Business Fax Number: | 5135360609 |
Mailing Address: | 4075 Old Western Row Rd, MASON |
State: | OH |
Postal Code: | 450403104 |
Phone Number: | 5135360232 |
Fax Number: | 5135360609 |
NPI Enumeration Date: | 09/16/2008 |
NPI Last Update Date: | 03/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0401X |
License Number: | 35.099392 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |