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Individual

CHARLES W ABBOTTSMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2123 AUBURN AVE, SUITE 139, CINCINNATI, OH 45219-2906
(513) 206-1060
(513) 206-1062
Mailing address
237 WILLIAM HOWARD TAFT RD, 2ND FLOOR, CBO 2-3, CINCINNATI, OH 45219-2610
(513) 206-1060
(513) 206-1062

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35029506
OH
207RI0011X
Interventional Cardiology Physician
Primary
35.029506
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000019879
ANTHEM CINCINNATI
OH
01
000000238154
ANTHEM MIDDLETOWN
OH
05
0380083
OH
01
060033890
RAILROAD MEDICARE
05
100009840
IN
01
2520405
UNITED HEALTHCARE
01
283677
AMERIGROUP
01
29506-05
HUMANA CHOICECARE
OH
01
641388
AETNA
OH
05
64787617
KY
Enumeration date
12/21/2005
Last updated
01/06/2015
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