Organization
NUTRITIONAL SUPPORT TEAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN L PESCHIERA MD (PRESIDENT)
(513) 872-2803
Entity
Organization
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 872-2803
Mailing address
375 DIXMYTH AVE, RM 799.119, CINCINNATI, OH 45220-2475
(513) 891-4508
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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