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Individual

DR. PETER R FRIED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2960 MACK RD, #105, FAIRFIELD, OH 45014-5373
(513) 860-2692
(513) 860-1614
Mailing address
5053 WOOSTER RD, CINCINNATI, OH 45226-2326
(513) 751-2145
(513) 751-2138

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01053774A
IN
2085R0001X
Radiation Oncology Physician
25998
KY
2085R0001X
Radiation Oncology Physician
Primary
35056721
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0706294
OH
05
100373300
IN
05
64861271
KY
Enumeration date
08/26/2005
Last updated
07/01/2024
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