| Blue Ash Internal Medicine, Llc | |
|
4260 Glendale Milford Road Suite 101 Cincinnati OH 45242 | |
| (513) 745-9993 | |
| (513) 745-9269 |
| Full Name | Blue Ash Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4260 Glendale Milford Road, Cincinnati, Ohio |
| Authorized Official Name and Position | Jay E Rissover (PRESIDENT) |
| Authorized Official Contact | 5137459993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ash Internal Medicine, Llc 4260 Glendale Milford Road Suite 101 Cincinnati OH 45242 Ph: (513) 745-9993 | Blue Ash Internal Medicine, Llc 4260 Glendale Milford Road Suite 101 Cincinnati OH 45242 Ph: (513) 745-9993 |
| NPI Number | 1659347029 |
|---|---|
| Provider Enumeration Date | 02/27/2006 |
| Last Update Date | 10/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659347029 | NPI | - | NPPES |
| 2278771 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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