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NPI Code Detail

MEDICARE: MARY B PERO M.D.

MEDICARE: MARY B PERO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician35.070409OH

General Provider Information

NPI Number : 1477573467
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY B PERO M.D.
Provider Business Mailing Address
First Line : 2750 BEEKMAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45225-2049
Country : US
Telephone Number : 513-517-2000
Fax Number : 513-517-2022
Provider Business Practice Location Address
First Line : 2750 BEEKMAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45225-2049
Country : US
Telephone Number : 513-517-2000
Fax Number : 513-517-2022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 02/14/2017

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