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Organization

VICTORIANO T. CO, MD, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER CO M.D. (PRESIDENT)
(513) 829-5306
Entity
Organization

Contact information

Practice address
511 NILLES RD, SUITE A, FAIRFIELD, OH 45014-2634
(513) 829-5306
(513) 829-6004
Mailing address
511 NILLES RD, SUITE A, FAIRFIELD, OH 45014-2634
(513) 829-5306
(513) 829-6004

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
35078144
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2221303
OH
Enumeration date
12/02/2014
Last updated
12/02/2014
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