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Individual

MARA TOMASZEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 912-7211
(859) 655-6674
Mailing address
2300 CHAMBER CENTER DRIVE, FT. MITCHELL, KY 41017-1673
(859) 912-7211
(859) 655-8981

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
35.095658
OH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
51747
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3086306
OH
Enumeration date
04/10/2007
Last updated
03/05/2021
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