Organization
CINCINNATI DERMATOLOGY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA SALEM FOAD MD (CEO)
(513) 984-4800
Entity
Organization
Contact information
Practice address
7730 MONTGOMERY RD, SUITE 200, CINCINNATI, OH 45236-4283
(513) 984-4800
Mailing address
7730 MONTGOMERY RD, SUITE 200, CINCINNATI, OH 45236-4283
(513) 984-4800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35081463F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2345804
—
OH
Enumeration date
02/24/2007
Last updated
03/08/2016
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