Individual
DR. JAY DAVID RAISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2960 MACK RD STE 200, FAIRFIELD, OH 45014-5300
(513) 860-5200
(513) 860-5037
Mailing address
2960 MACK RD STE 200, FAIRFIELD, OH 45014-5300
(513) 860-5200
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
014566
ME
207Y00000X
Otolaryngology Physician
11025
ND
207Y00000X
Otolaryngology Physician
Primary
35.152739
OH
207Y00000X
Otolaryngology Physician
38570
MN
Other
Enumeration date
03/20/2007
Last updated
08/11/2025
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