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Organization

QUEEN CITY MED MART LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID P FESMAN (PRESIDENT)
(513) 733-8100
Entity
Organization

Contact information

Practice address
5045 CROOKSHANK RD, CINCINNATI, OH 45238-3301
(513) 347-9700
Mailing address
10780 READING RD, CINCINNATI, OH 45241-2531
(513) 733-8100
(513) 733-8449

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/22/2014
Last updated
12/20/2017
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