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Organization
SOUTHWEST OHIO GASTROENTEROLOGY, INC
Active
Organization
SOUTHWEST OHIO GASTROENTEROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL S DEL MAURO D.O (MEDICAL DIRECTOR/PRESIDENT)
(513) 605-4800
Entity
Organization
Contact information
Practice address
11111 MONTGOMERY RD, CINCINNATI, OH 45249-2391
(513) 605-4800
(513) 605-4805
Mailing address
PO BOX 712585, CINCINNATI, OH 45271-0001
(513) 605-4800
(513) 605-4805
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
11/05/2012
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