Organization
QUEEN CITY MED MART INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAUL J FESMAN (PRESIDENT)
(513) 733-8100
Entity
Organization
Contact information
Practice address
7725 HOKE RD, CLAYTON, OH 45315-9725
(937) 832-4500
(937) 832-4550
Mailing address
10780 READING RD, CINCINNATI, OH 45241-2531
(513) 733-8100
(513) 733-8449
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2544527
—
OH
Enumeration date
07/03/2006
Last updated
08/22/2020
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