Organization
QUEEN CITY EAR NOSE AND THROAT ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID DEUTSCH MD (PRESIDENT)
(513) 793-9600
Entity
Organization
Contact information
Practice address
11135 MONTGOMERY RD, CINCINNATI, OH 45249-2338
(513) 793-9600
(513) 793-4928
Mailing address
PO BOX 706187, CINCINNATI, OH 45270-0001
(513) 793-9600
(513) 793-4928
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026626
—
OH
05
—
0173039
—
OH
05
—
0240171
—
OH
01
—
0373091
MEDICARE PIN-RM-MONTGOMERY
OH
01
—
0405003
MEDICARE PIN-SGL-MONTGOMERY
OH
01
—
0802291
MEDICARE PIN -MONTGOMERY-MDD
OH
01
—
0802297
MEDICARE PIN-MDD-WILMINGTON
OH
05
—
0950798
—
OH
05
—
2253181
—
OH
01
—
4064261
MEDICARE PIN-ELS-MONTGOMERY
OH
01
—
4064262
MEDICARE PIN-ELS-WILMINGTON
OH
01
—
CJ8475
RR MEDICARE
OH
Enumeration date
05/23/2006
Last updated
01/06/2014
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