| Family Practice Associates Of Southwest Ohio Inc | |
|
74 N Breiel Blvd Middletown OH 45042-3804 | |
| (513) 424-7291 | |
| (513) 424-4674 |
| Full Name | Family Practice Associates Of Southwest Ohio Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 74 N Breiel Blvd, Middletown, Ohio |
| Authorized Official Name and Position | Thomas Edward Furlong (PRESIDENT) |
| Authorized Official Contact | 5134247291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Associates Of Southwest Ohio Inc 74 N Breiel Blvd Middletown OH 45042-3804 Ph: (513) 424-7291 | Family Practice Associates Of Southwest Ohio Inc 74 N Breiel Blvd Middletown OH 45042-3804 Ph: (513) 424-7291 |
| NPI Number | 1750478988 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 05/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750478988 | NPI | - | NPPES |
| 311047512-00 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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