Organization
GRETCHEN SEROTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRETCHEN O SEROTA MD (PRESIDENT)
(513) 474-9800
Entity
Organization
Contact information
Practice address
619 OAK ST, CINCINNATI, OH 45206-1613
(513) 474-9800
(513) 474-9805
Mailing address
8595 BEECHMONT AVE, SUITE 105, CINCINNATI, OH 45255-4783
(513) 474-9800
(513) 624-0185
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OH35067381
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0381546
—
OH
Enumeration date
04/16/2007
Last updated
08/12/2009
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