Organization
A2 HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BRIAN BOSTER MD (PRESIDENT)
(513) 791-3566
Entity
Organization
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-4444
Mailing address
1161 RED BIRD RD, LOVELAND, OH 45140-7207
(513) 683-1163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2317219
—
OH
Enumeration date
10/02/2006
Last updated
09/18/2014
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