Organization
CLERMONT COUNTY COMMUNITY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEEMA FAROOQUI M.D. (MEDICAL DIRECTOR)
(513) 732-2277
Entity
Organization
Contact information
Practice address
3003 HOSPITAL DR, BATAVIA, OH 45103-2689
(513) 732-2277
(513) 735-8839
Mailing address
3003 HOSPITAL DR, BATAVIA, OH 45103-2689
(513) 732-2277
(513) 735-8839
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0850002
—
OH
Enumeration date
10/20/2006
Last updated
03/14/2011
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