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Individual

DR. SUSAN M. SZMYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9302 TOWNE SQUARE AVE., CINCINNATI, OH 45242
(513) 791-2114
(513) 791-3672
Mailing address
9302 TOWNE SQUARE AVE., CINCINNATI, OH 45242
(513) 791-2114
(513) 791-3672

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
(51262)35051262S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0571377
OH BCMH PROVIDER #
OH
05
0571377
OH
01
163181
IN BCMH PROVIDER #
IN
05
200178560B
IN
05
64784424
KY
Enumeration date
06/16/2005
Last updated
07/09/2007
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