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Individual

PAUL J MASSOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
463 OHIO PIKE, SUITE 300, CINCINNATI, OH 45255-3721
(513) 528-5688
(513) 528-9716
Mailing address
463 OHIO PIKE, SUITE 300, CINCINNATI, OH 45255-3721
(513) 528-5688
(513) 528-9716

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35063308M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0889356
OH
Enumeration date
08/16/2005
Last updated
01/14/2008
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