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Organization
TRI-STATE INTERNAL MEDICINE, LLC
Active
Organization
TRI-STATE INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT AARON KOTZIN D.O. (OWNER)
(513) 229-4900
Entity
Organization
Contact information
Practice address
7450 S MASON MONTGOMERY RD, SUITE #200, MASON, OH 45040-7891
(513) 229-4900
(513) 229-4903
Mailing address
7450 S MASON MONTGOMERY RD, SUITE #200, MASON, OH 45040-7891
(513) 229-4900
(513) 229-4903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34006559
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2344967
—
OH
Enumeration date
10/05/2007
Last updated
10/05/2007
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