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Individual

JOHN J SZAWALUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11140 MONTGOMERY RD, CINCINNATI, OH 45249-2309
(513) 792-7800
(513) 792-7807
Mailing address
237 WILLIAM HOWARD TAFT RD, 2ND FLOOR, CBO2-3, CINCINNATI, OH 45219-2610
(513) 792-7800
(513) 792-7807

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35083585
OH
207RH0005X
Hypertension Specialist Physician
Primary
35083585
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000312081
ANTHEM MIDDLETOWN
05
2252397
OH
01
2503954
UNITED
01
283921
AMERIGROUP
01
311438871031
CARESOURCE
01
3359501
AETNA
Enumeration date
04/17/2006
Last updated
10/24/2020
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