Sf Ohio Medical Services Corp

NPI #1073085676 in Dayton, Ohio

Provider Information

NPI Number: 1073085676
Entity Type: Organization
Organization Name: Sf Ohio Medical Services Corp
Primary Specialty: Family Medicine
Enumeration Date: Dec 20, 2018
Last Updated: Mar 18, 2019

Practice Location

Address: 1390 KING TREE DR
City: Dayton
State: Ohio
ZIP Code: 45405-1401
Phone: (718) 280-5436

Authorized Official

Name: SIMON FENSTERSZAUB, MD
Title: OWNER
Phone: (718) 362-1411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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