Individual
BENJAMIN TATE FEDELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 475-8282
Mailing address
10500 MONTGOMERY RD, MONTGOMERY, OH 45242-4402
(513) 865-2246
(513) 865-5552
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.142433
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
35.142433
OH
Other
Enumeration date
03/22/2016
Last updated
12/10/2024
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