Colon & Rectal Disease Center, Inc.
NPI #1447450804 in Cincinnati, Ohio
Provider Information
- NPI Number
- 1447450804
- Entity Type
- Organization
- Organization Name
- Colon & Rectal Disease Center, Inc.
- Primary Specialty
- Colon & Rectal Surgery
- Enumeration Date
- Jul 23, 2007
- Last Updated
- Jan 7, 2015
Practice Location
- Address
- 10496 MONTGOMERY RD
- Address 2
- SUITE 204
- City
- Cincinnati
- State
- Ohio
- ZIP Code
- 45242-5220
- Phone
- (513) 793-9835
Authorized Official
- Name
- MAHENDRA MATTA, MD
- Title
- OWNER
- Phone
- (513) 793-9835
Specialties & Taxonomy Codes
| Specialty |
|---|
| Colon & Rectal Surgery |
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