Organization
FAIRFIELD PRIMARY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARIN E. SULEK (OFFICE COORDINATOR)
(513) 860-3016
Entity
Organization
Contact information
Practice address
2740 MACK RD, FAIRFIELD, OH 45014-5161
(513) 860-3016
(513) 860-3073
Mailing address
2740 MACK RD, FAIRFIELD, OH 45014-5161
(513) 860-3016
(513) 860-3073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC4626
MEDICARE RAILROAD
OH
01
—
FA9258621
MEDICARE
OH
Enumeration date
03/15/2007
Last updated
07/12/2010
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