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Individual

JAMES J DEVITT II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-7600
Mailing address
PO BOX 631104, CINCINNATI, OH 45263-1104
(800) 365-3744

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35066833
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000199071
ANTHEM
OH
05
200403460
IN
05
2037843
OH
01
220030929
RAILROAD MEDICARE
05
64031529
KY
Enumeration date
10/14/2005
Last updated
06/03/2014
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