E Cincinnati Inter Med | |
4044 Mclean Dr Cincinnati OH 45255-3323 | |
(513) 528-3300 | |
(513) 528-9023 |
Full Name | E Cincinnati Inter Med |
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Speciality | Internal Medicine |
Location | 4044 Mclean Dr, Cincinnati, Ohio |
Authorized Official Name and Position | Edward J Severyn (OWNER) |
Authorized Official Contact | 5135283300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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E Cincinnati Inter Med Po Box 54822 Cincinnati OH 45254-0822 Ph: (513) 528-3300 | E Cincinnati Inter Med 4044 Mclean Dr Cincinnati OH 45255-3323 Ph: (513) 528-3300 |
NPI Number | 1871773895 |
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Provider Enumeration Date | 11/07/2007 |
Last Update Date | 12/17/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871773895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Ohio) | Primary |
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