Healthcare Provider Details

I. General information

NPI: 1265477244
Provider Name (Legal Business Name): FRANK D PERRINO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4803 MONTGOMERY RD SUITE 114
CINCINNATI OH
45212-2163
US

IV. Provider business mailing address

4803 MONTGOMERY RD SUITE 114
CINCINNATI OH
45212-2163
US

V. Phone/Fax

Practice location:
  • Phone: 513-631-3300
  • Fax: 513-631-9852
Mailing address:
  • Phone: 513-631-3300
  • Fax: 513-631-9852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.046528
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: