Healthcare Provider Details

I. General information

NPI: 1144290271
Provider Name (Legal Business Name): ENDO INC II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3652 WERK RD
CINCINNATI OH
45248-4900
US

IV. Provider business mailing address

3652 WERK RD
CINCINNATI OH
45248-4900
US

V. Phone/Fax

Practice location:
  • Phone: 513-451-6001
  • Fax: 513-451-7310
Mailing address:
  • Phone: 513-451-6001
  • Fax: 513-451-7310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW DEAK
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 513-451-6001