Individual
GINA MATACIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5520 CHEVIOT RD, CINCINNATI, OH 45247-7069
(513) 451-4033
(513) 451-4118
Mailing address
5520 CHEVIOT RD, CINCINNATI, OH 45247-7069
(513) 451-4033
(513) 451-4118
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
35-093919
OH
207RX0202X
Medical Oncology Physician
Primary
35-093919
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3113857
—
OH
Enumeration date
05/25/2007
Last updated
04/21/2025
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