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Organization

CITY OF CINCINNATI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NOBLE MASERU PHD MPH (HEALTH COMMISSIONER)
(513) 357-7280
Entity
Organization

Contact information

Practice address
5818 MADISON RD, BRAXTON F CANN MEMORIAL MEDICAL CENTER, CINCINNATI, OH 45227-1708
(513) 271-6089
(513) 271-3786
Mailing address
3101 BURNET AVENUE, CINCINNATI, OH 45229-3014
(513) 357-7289
(513) 357-7396

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
261QP2300X
Primary Care Clinic/Center
Primary
291U00000X
Clinical Medical Laboratory
36D0894909
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0184590
OH
Enumeration date
07/30/2006
Last updated
01/19/2012
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