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Contact Information

CHARLES J PRESTIGIACOMO, MD
3113 BELLEVUE AVE
CINCINNATI, OH45219
 Phone: 513-475-8990
 Fax: 513-475-8577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLES J PRESTIGIACOMO · (Male)

NPI Number 1174658272
Status Active
Credentials MD
Entity Individual
Enumeration date 02/22/2007
Last updated 03/29/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA07461000
  • OH License # 35.134660
  • NJ Medicaid 8921903
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL INC - (Acute Care)
    234 GOODMAN STREET
    CINCINNATI, OH 45219
  • WEST CHESTER MEDICAL CENTER - (Acute Care)
    7700 UNIVERSITY DRIVE
    WEST CHESTER, OH 45069
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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