Organization
MONTGOMERY PEDIATRICS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY VAUGHN (OFFICE MANAGER)
(513) 984-5552
Entity
Organization
Contact information
Practice address
10700 MONTGOMERY RD, SUITE 100, CINCINNATI, OH 45242-3255
(513) 984-5552
(513) 984-5554
Mailing address
10700 MONTGOMERY RD, SUITE 100, CINCINNATI, OH 45242-3255
(513) 984-5552
(513) 984-5554
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
35041085L
OH
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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