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Organization
UNIVERSITY FAMILY PHYSICIANS, INC.
Active
Organization
UNIVERSITY FAMILY PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LOUIS SUSMAN M.D. (PRESIDENT)
(513) 558-4021
Entity
Organization
Contact information
Practice address
825 W LOCUST ST, WILMINGTON, OH 45177-2118
(937) 383-3402
(937) 383-0610
Mailing address
141 HEALTH PROFESSIONS BUILDING, PO BOX 670582, CINCINNATI, OH 45267-0582
(513) 558-4021
(513) 558-3030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102923
—
OH
Enumeration date
02/27/2006
Last updated
08/22/2020
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