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NPI Code Detail

MEDICARE: DR. SUSANNE N SOLOMON DPM

MEDICARE: DR. SUSANNE N SOLOMON DPM
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
1213E00000XPodiatrist36002605OH

General Provider Information

NPI Number : 1841390127
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSANNE N SOLOMON DPM
Provider Business Mailing Address
First Line : 5241 WANDERING WAY
Second Line :
City : MASON
State : OH
Zip : 45040-9184
Country : US
Telephone Number : 513-573-9680
Fax Number :
Provider Business Practice Location Address
First Line : 2415 AUBURN AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2701
Country : US
Telephone Number : 513-241-4949
Fax Number : 513-221-4954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 07/08/2007

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