| Bethesda Family Medicine Residency | |
|
4411 Montgomery Rd #206 Cincinnati OH 45212-3187 | |
| (513) 631-0763 | |
| Not Available |
| Full Name | Bethesda Family Medicine Residency |
|---|---|
| Speciality | Family Medicine |
| Location | 4411 Montgomery Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Tracie L Bolden (RESIDENT) |
| Authorized Official Contact | 5136310763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethesda Family Medicine Residency 4411 Montgomery Rd #206 Cincinnati OH 45212-3187 Ph: (513) 631-0763 | Bethesda Family Medicine Residency 4411 Montgomery Rd #206 Cincinnati OH 45212-3187 Ph: (513) 631-0763 |
| NPI Number | 1407050537 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407050537 | NPI | - | NPPES |
| 57010437 | Other | OH | MD TRAINING CERTIFICATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 57010437 (Ohio) | Primary |
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