Organization
DIABETES & ENDOCRINOLOGY ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY C WILLIAMS MD (PRESIDENT)
(513) 861-0012
Entity
Organization
Contact information
Practice address
4360 COOPER RD, STE 201, CINCINNATI, OH 45242
(513) 861-0012
(513) 861-2220
Mailing address
4360 COOPER RD, STE 201, CINCINNATI, OH 45242
(513) 861-0012
(513) 861-2220
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0929565
AETNA HEALTH CARE
—
01
—
1052453
MEDICAID
KY
05
—
2086755
—
OH
01
—
CL1292
RAILROAD MEDICARE
OH
Enumeration date
08/01/2006
Last updated
08/22/2020
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