Organization
E CINCINNATI INTER MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J SEVERYN MD (OWNER)
(513) 528-3300
Entity
Organization
Contact information
Practice address
4044 MCLEAN DR, CINCINNATI, OH 45255-3323
(513) 528-3300
(513) 528-9023
Mailing address
PO BOX 54822, CINCINNATI, OH 45254-0822
(513) 528-3300
(513) 528-9023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
OH
Other
Enumeration date
11/07/2007
Last updated
12/17/2007
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