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Individual

DR. DOUGLAS E CHICCHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
308 READING RD, FL 1B, CINCINNATI, OH 45202-1369
(513) 241-5234
(513) 241-5241
Mailing address
4645 DAY RD, CINCINNATI, OH 45252-1807
(513) 385-6002

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35035817
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0259581
OH
Enumeration date
06/21/2007
Last updated
07/08/2007
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