# BETHESDA CARE EASTGATE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164596326
- **Authorized official:** CHUC PHUC LE M.D. (FACILITY MEDICAL DIRECTOR)
- **Authorized official phone:** (513) 752-3695

## Contact information

- **Practice address:** 4452 EASTGATE BLVD, SUITE 101, CINCINNATI, OH 45245-1584
- **Practice address phone:** (513) 752-3695
- **Practice address fax:** (513) 752-3039
- **Mailing address:** 10185 WATERSIDE CT, UNION, KY 41091-9489
- **Mailing address phone:** (859) 384-7221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 35071748 | OH | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 08/22/2020
