Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Licking Memorial Professional Corporation

Organization Hematology & Oncology Physician · NPI 1124048566

Licking Memorial Professional Corporation is a Hematology & Oncology Physician in Newark, Ohio. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1320 W Main St
Newark, OH 43055-1822
Phone: (740) 348-4475
Fax: (740) 348-4412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X

Record details

NPI number1124048566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Montagnese — Executive Vice President · (740) 348-4000
Other names Licking Memorial Oncology/Hematology
NPI enumeratedJuly 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1320 W Main St, Newark, OH 43055-1822

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