Organization
QUEEN CITY MED MART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID P FESMAN (PRESIDENT)
(513) 733-8100
Entity
Organization
Contact information
Practice address
3737 S SMITHVILLE RD, KETTERING, OH 45420-1588
(937) 256-0000
(937) 256-0844
Mailing address
10780 READING RD, CINCINNATI, OH 45241-2531
(513) 563-4855
(513) 563-4855
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0296200
—
OH
Enumeration date
07/03/2006
Last updated
04/02/2026
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