Organization
EUGENE J. VAN LEEUWEN, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE JOSEPH VAN LEEUWEN MD (PRESIDENT)
(513) 961-8861
Entity
Organization
Contact information
Practice address
3001 HIGHLAND AVE, SUITE E, CINCINNATI, OH 45219-2315
(513) 961-8861
(513) 487-3770
Mailing address
3001 HIGHLAND AVE, SUITE E, CINCINNATI, OH 45219-2315
(513) 961-8861
(513) 487-3770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35055807U
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196583
ANTHEM
OH
05
—
0744387
—
OH
01
—
1500842
EVERCARE
OH
05
—
640558300
—
KY
Enumeration date
10/30/2007
Last updated
05/22/2023
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