Individual
PAMELA B SEQUEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 745-1111
Mailing address
PO BOX 632242, CINCINNATI, OH 45263-2242
(937) 432-4000
(937) 432-4009
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35070222
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000513470
BLUE CROSS BLUE SHIELD
OH
05
—
2093434
—
OH
Enumeration date
05/11/2006
Last updated
06/10/2010
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