Organization
GYN-OB CONS GR CINTI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART J FRIEDMAN MD (NPI CONTACT DR)
(513) 792-5800
Entity
Organization
Contact information
Practice address
2123 AUBURN AVENUE, SUITE 528, CINCINNATI, OH 45219
(513) 792-5800
(513) 792-5806
Mailing address
2123 AUBURN AVENUE, SUITE 528, CINCINNATI, OH 45219
(513) 792-5800
(513) 792-5806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0499410
—
OH
01
—
0910970001
MEIDCARE SUPPLIER
OH
05
—
65918021
—
KY
Enumeration date
08/30/2006
Last updated
05/02/2013
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