Fairfield-hamilton Internal Medicine Inc. | |
5184 Sandy Ln Fairfield OH 45014-2738 | |
(513) 868-1786 | |
(513) 868-1758 |
Full Name | Fairfield-hamilton Internal Medicine Inc. |
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Speciality | Internal Medicine |
Location | 5184 Sandy Ln, Fairfield, Ohio |
Authorized Official Name and Position | Dale Yu (PHYSICIAN) |
Authorized Official Contact | 5138681786 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fairfield-hamilton Internal Medicine Inc. 5184 Sandy Ln Fairfield OH 45014-2738 Ph: (513) 868-1786 | Fairfield-hamilton Internal Medicine Inc. 5184 Sandy Ln Fairfield OH 45014-2738 Ph: (513) 868-1786 |
NPI Number | 1932370541 |
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Provider Enumeration Date | 03/23/2008 |
Last Update Date | 07/02/2013 |
Medicare PECOS PAC ID | 5799852448 |
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Medicare Enrollment ID | O20080922000277 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932370541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Dale Patrick Yu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174506646 PECOS PAC ID: 8325092125 Enrollment ID: I20050304000040 |
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