Organization
WOUND SPECIALISTS OF GREATER CINCINNATI, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTI BALAR MASTURZO MD (OWNER)
(513) 557-3330
Entity
Organization
Contact information
Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 865-1111
(513) 557-3329
Mailing address
PO BOX 643911, CINCINNATI, OH 45264-3911
(513) 557-3330
(513) 557-3329
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
35-082412
OH
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
35-082412
OH
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2993891
—
OH
05
—
64096233
—
KY
05
—
7100118600
—
KY
Enumeration date
12/18/2008
Last updated
03/24/2016
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