Organization
JESUS C HONTANOSAS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS C HONTANOSAS MD (PRESIDENT)
(513) 732-1660
Entity
Organization
Contact information
Practice address
2055 HOSPITAL DR, STE 335, BATAVIA, OH 45103-1978
(513) 732-1660
(513) 732-1665
Mailing address
2055 HOSPITAL DR, STE 335, BATAVIA, OH 45103-1978
(513) 732-1660
(513) 732-1665
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35043368OH
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010212
ANTHEM
OH
05
—
0405798
—
OH
Enumeration date
03/28/2006
Last updated
07/01/2009
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