Provider Demographics
NPI:1780778464
Name:JULES, MARIE ESTHER (MD)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:ESTHER
Last Name:JULES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:MARIE
Other - Middle Name:ESTHER
Other - Last Name:EMILE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11934 WINSTON CIR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1534
Mailing Address - Country:US
Mailing Address - Phone:513-423-8387
Mailing Address - Fax:
Practice Address - Street 1:675 NORTH UNIVERSITY BOULEVARD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45042
Practice Address - Country:US
Practice Address - Phone:513-423-8387
Practice Address - Fax:512-423-3309
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA56470207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine