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Organization

HOSPITALIST SERVICES MEDICAL GROUP OF HAMILTON, INC.

Active
Other names
Hospitalist Services Medical Group of Hamilton, Inc./Ft. Hamilton Hosp
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL W KOLODZIK MD (COO)
(800) 726-3627
Entity
Organization

Contact information

Practice address
630 EATON AVE, HAMILTON, OH 45013-2767
(513) 867-2000
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1429528
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
203436
EEOICP GRP PROVIDER #
OH
05
2482620
OH
01
DB6528
GROUP RRMEDICARE NUMBER
OH
Enumeration date
09/13/2005
Last updated
04/20/2008
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