| Diabetes & Endocrinology Assoc Inc | |
|
4360 Cooper Rd Ste 201 Cincinnati OH 45242 | |
| (513) 861-0012 | |
| (513) 861-2220 |
| Full Name | Diabetes & Endocrinology Assoc Inc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 4360 Cooper Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Timothy C Williams (PRESIDENT) |
| Authorized Official Contact | 5138610012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes & Endocrinology Assoc Inc 4360 Cooper Rd Ste 201 Cincinnati OH 45242 Ph: (513) 861-0012 | Diabetes & Endocrinology Assoc Inc 4360 Cooper Rd Ste 201 Cincinnati OH 45242 Ph: (513) 861-0012 |
| NPI Number | 1144236969 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144236969 | NPI | - | NPPES |
| 2086755 | Medicaid | OH | |
| 0929565 | Other | AETNA HEALTH CARE | |
| 1052453 | Other | KY | MEDICAID |
| CL1292 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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