# SOUTHWEST OHIO GASTROENTEROLOGY, INC

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

## Provider details

- **NPI number:** 1396833034
- **Authorized official:** DR. SAMUEL S DEL MAURO D.O (MEDICAL DIRECTOR/PRESIDENT)
- **Authorized official phone:** (513) 605-4800

## Contact information

- **Practice address:** 11111 MONTGOMERY RD, CINCINNATI, OH 45249-2391
- **Practice address phone:** (513) 605-4800
- **Practice address fax:** (513) 605-4805
- **Mailing address:** PO BOX 712585, CINCINNATI, OH 45271-0001
- **Mailing address phone:** (513) 605-4800
- **Mailing address fax:** (513) 605-4805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 11/05/2012