Individual
DR. JONATHAN MUMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7810 5 MILE RD, CINCINNATI, OH 45230-2356
(513) 232-1253
(513) 232-4290
Mailing address
4600 WESLEY AVE, STE N, CINCINNATI, OH 45212-2298
(513) 841-5520
(513) 841-1580
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35061860
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0864088
—
OH
Enumeration date
06/16/2006
Last updated
02/18/2010
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