Organization
FAUSTO P VASQUEZ, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAUSTO P VASQUEZ MD (PRESIDENT)
(513) 821-2201
Entity
Organization
Contact information
Practice address
7017 VINE ST, CINCINNATI, OH 45216-2031
(512) 821-2201
(513) 821-2202
Mailing address
7017 VINE ST, CINCINNATI, OH 45216-2031
(512) 821-2201
(513) 821-2202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3012680
—
OH
01
—
DB2859
RR MCR
OH
Enumeration date
01/26/2006
Last updated
02/27/2014
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