Organization
TRISTATE MATERNAL FETAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM MCCLINTOCK (MGR)
(513) 862-6200
Entity
Organization
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-6300
(513) 862-4358
Mailing address
PO BOX 9493, BELFAST, ME 04915-9493
(513) 862-6200
(513) 862-4358
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195551
—
OH
05
—
200086360A
—
IN
05
—
4805896
—
MI
05
—
65925679
—
KY
Enumeration date
07/08/2005
Last updated
03/18/2013
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