Individual
SING SING WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3333 BURNET AVE, ML 6014, CINCINNATI, OH 45229-3026
(513) 636-4578
(513) 636-7039
Mailing address
3333 BURNET AVE, ML 6014, CINCINNATI, OH 45229-3026
(513) 636-4578
(513) 636-7039
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
35.099919
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280320
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8416711
—
WA
Enumeration date
10/17/2006
Last updated
08/14/2012
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