Organization
BETHESDA CARE EASTGATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUC PHUC LE M.D. (FACILITY MEDICAL DIRECTOR)
(513) 752-3695
Entity
Organization
Contact information
Practice address
4452 EASTGATE BLVD, SUITE 101, CINCINNATI, OH 45245-1584
(513) 752-3695
(513) 752-3039
Mailing address
10185 WATERSIDE CT, UNION, KY 41091-9489
(859) 384-7221
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
35071748
OH
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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