Healthcare Provider Details

I. General information

NPI: 1770569576
Provider Name (Legal Business Name): JOSEPH J MORAVEC, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 02/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 CONGRESS AVENUE
CINCINNATI OH
45246
US

IV. Provider business mailing address

1130 CONGRESS AVENUE
CINCINNATI OH
45246
US

V. Phone/Fax

Practice location:
  • Phone: 513-772-2442
  • Fax: 513-772-2844
Mailing address:
  • Phone: 513-772-2442
  • Fax: 513-772-2844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number StateOH

VIII. Authorized Official

Name: LINDA MORAVEC
Title or Position: OFFICE MANAGER
Credential:
Phone: 513-772-2442