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NPI Code Detail

MEDICARE: DR. THOMAS JOHN REDINGTON JR. M.D. M.B.A F.A.C.P

MEDICARE: DR. THOMAS JOHN REDINGTON JR. M.D. M.B.A F.A.C.P
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
1207R00000XInternal Medicine Physician35.059291OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689857518
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS JOHN REDINGTON JR. M.D. M.B.A F.A.C.P
Provider Business Mailing Address
First Line : 6620 CLOUGH PIKE
Second Line :
City : CINCINNATI
State : OH
Zip : 45244-4053
Country : US
Telephone Number : 513-564-1640
Fax Number : 513-564-1637
Provider Business Practice Location Address
First Line : 6620 CLOUGH PIKE
Second Line :
City : CINCINNATI
State : OH
Zip : 45244-4053
Country : US
Telephone Number : 513-564-1640
Fax Number : 513-564-1637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2007
Last Update Date : 11/13/2018

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