Healthcare Provider Details

I. General information

NPI: 1104153378
Provider Name (Legal Business Name): NJOH MEDICAL FOUNDATION AND INTERNATIONAL TRADE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2009
Last Update Date: 11/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2795 THOMASVILLE CT STE 1326
CINCINNATI OH
45238-3009
US

IV. Provider business mailing address

2795 THOMASVILLE CT STE 1326
CINCINNATI OH
45238-3009
US

V. Phone/Fax

Practice location:
  • Phone: 513-389-1971
  • Fax: 513-293-3621
Mailing address:
  • Phone: 513-389-1971
  • Fax: 513-293-3621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. GABRIEL NJOH
Title or Position: PRESIDENT/CEO/FOUNDER
Credential:
Phone: 513-293-3621