Individual
BETH E HABERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 BURNET AVE, ML 7009, CINCINNATI, OH 45229-3039
(513) 636-4830
(513) 636-7868
Mailing address
3333 BURNET AVE, ML 7009, CINCINNATI, OH 45229-3039
(513) 636-4830
(513) 636-7868
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
36541
KY
208000000X
Pediatrics Physician
36541
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35067806
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
36541
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109064
—
OH
05
—
64939986
—
KY
Enumeration date
08/26/2005
Last updated
07/14/2010
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