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Philippe F Backeljauw, M.D.

Pediatrics, Pediatric Endocrinology in Cincinnati, OH. Individual provider (NPI-1).

NPI number1770511883
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1770511883
Entity type
Individual (NPI-1)
Name
Philippe F Backeljauw
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 29, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0205X Pediatrics, Pediatric Endocrinology35-06-0307OHYes

Practice location

3333 Burnet Ave
Ml 7012
Cincinnati, OH 45229-3039

Phone 513-636-4744 · Fax 513-636-7486

Mailing address

3333 Burnet Ave
Ml 5021
Cincinnati, OH 45229-3039

Phone 513-636-4225 · Fax 513-636-2511

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