Licking Memorial Professional Corp
Licking Memorial Professional Corp is a Geriatric Medicine (Internal Medicine) Physician in Newark, Ohio. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
120 McMillen DrNewark, OH 43055-1809
Phone: (740) 348-7935
Fax: (740) 348-7936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RG0300X |
|---|
Record details
| NPI number | 1649290073 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Montagnese — Executive V.P. · (740) 348-4000 |
| Other names | Licking Memorial Geriatric Medicine |
| NPI enumerated | July 20, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 120 McMillen Dr, Newark, OH 43055-1809 |