Organization
NORTHEAST CENTER FOR WOMEN'S HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON RICHARD FACKLER MD (CO-OWNER)
(513) 793-2220
Entity
Organization
Contact information
Practice address
11135 MONTGOMERY RD, CINCINNATI, OH 45249-2338
(513) 793-2220
(513) 793-5933
Mailing address
11135 MONTGOMERY RD, CINCINNATI, OH 45249-2338
(513) 793-2220
(513) 793-5933
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005038
—
OH
Enumeration date
07/19/2006
Last updated
04/17/2013
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