Individual
DR. BERTHOLD PEMBAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6010 S MASON MONTGOMERY RD, MASON, OH 45040-3706
(513) 246-7000
(513) 204-6355
Mailing address
4600 WESLEY AVE, STE N, CINCINNATI, OH 45212-2298
(513) 246-7796
(513) 246-7855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35044521
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419194
—
OH
Enumeration date
06/12/2006
Last updated
02/05/2013
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