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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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