Individual
ELLEN M IACIOFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 E BUSINESS WAY, CINCINNATI, OH 45241-2374
(513) 354-3700
(513) 354-3705
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 354-3700
(513) 354-3705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005864RX
OH
363A00000X
Physician Assistant
5601010554
MI
Other
Enumeration date
03/06/2019
Last updated
11/03/2023
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