Organization
JENNIFER B MANDERS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER B. MANDERS M.D. (MEDICAL DOCTOR)
(513) 272-1999
Entity
Organization
Contact information
Practice address
4460 RED BANK RD, SUITE 120, CINCINNATI, OH 45227-2172
(513) 272-1999
Mailing address
4460 RED BANK RD, SUITE 120, CINCINNATI, OH 45227-2172
(513) 272-1999
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-086334
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200932170A
—
IN
Enumeration date
12/21/2007
Last updated
04/28/2009
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