# TRISTATE MATERNAL FETAL MEDICINE INC

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

## Provider details

- **NPI number:** 1598763104
- **Authorized official:** PAM MCCLINTOCK (MGR)
- **Authorized official phone:** (513) 862-6200

## Contact information

- **Practice address:** 375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
- **Practice address phone:** (513) 862-6300
- **Practice address fax:** (513) 862-4358
- **Mailing address:** PO BOX 9493, BELFAST, ME 04915-9493
- **Mailing address phone:** (513) 862-6200
- **Mailing address fax:** (513) 862-4358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2005
- **Last updated:** 03/18/2013