Individual
ANNA MARIE DADDABBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3120 BURNET AVE, CINCINNATI, OH 45229-3091
(513) 584-8600
(513) 584-8619
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-054361
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0954785
—
OH
05
—
100385350
—
IN
05
—
64936479
—
KY
Enumeration date
04/25/2006
Last updated
03/13/2019
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