MEDICARE: ALIECIA MARGUERITE HOCHHAUSLER MD

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	35.122116	OH

General Provider Information

NPI Number	:	1174842603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIECIA MARGUERITE HOCHHAUSLER MD

Provider Business Mailing Address
First Line	:	3100 VINE ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2068
Country	:	US
Telephone Number	:	513-475-6317
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 VINE ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2068
Country	:	US
Telephone Number	:	513-475-6317
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2010
Last Update Date	:	10/03/2018

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