Individual
JEFFREY I GRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2960 MACK RD STE 105, FAIRFIELD, OH 45014-5374
(513) 751-2273
Mailing address
5053 WOOSTER RD, CINCINNATI, OH 45226-2326
(513) 751-2145
(513) 751-2138
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35-071641
OH
2085R0001X
Radiation Oncology Physician
37561
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200833060
—
IN
05
—
2230697
—
OH
05
—
7100002030
—
KY
Enumeration date
06/09/2006
Last updated
04/22/2021
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