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Organization
NORTHEAST CENTER FOR WOMEN'S HEALTH, INC.
Active
Organization
NORTHEAST CENTER FOR WOMEN'S HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON RICHARD FACKLER MD (CO-OWNER)
(513) 793-2220
Entity
Organization
Contact information
Practice address
11135 MONTGOMERY RD, CINCINNATI, OH 45249-2338
(513) 793-2220
(513) 793-5933
Mailing address
11135 MONTGOMERY RD, CINCINNATI, OH 45249-2338
(513) 793-2220
(513) 793-5933
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
04/17/2013
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