Individual
CHARLES YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 304-3552
Mailing address
3200 VINE ST, CINCINNATI, OH 45220-2213
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35127116
OH
2085R0204X
Vascular & Interventional Radiology Physician
35127116
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169858
—
OH
Enumeration date
10/07/2010
Last updated
01/14/2025
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