Organization
PEDIATRIC ASSOCIATES OF FAIRFIELD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A INFANTINO CFO (ADMINISTRATOR)
(513) 874-9460
Entity
Organization
Contact information
Practice address
5502 DIXIE HWY, FAIRFIELD, OH 45014-4297
(513) 874-9460
(513) 874-5731
Mailing address
5502 DIXIE HWY, FAIRFIELD, OH 45014-4297
(513) 874-9460
(513) 874-5731
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
208000000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135348
—
OH
Enumeration date
03/28/2007
Last updated
04/12/2016
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