Individual
CARMEN DIMACULANGAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 672-3309
(513) 672-3323
Mailing address
11490 SPRINGFIELD PIKE, CINCINNATI, OH 45246-3524
(513) 672-3309
(513) 672-3323
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35044321
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0889794
—
OH
Enumeration date
07/29/2005
Last updated
07/08/2007
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