Licking Memorial Professional Corporation
Licking Memorial Professional Corporation is a Gastroenterology Physician in Newark, Ohio. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1320 W Main StNewark, OH 43055-1822
Phone: (740) 348-4137
Fax: (740) 348-4119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X |
|---|
Record details
| NPI number | 1770503112 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Montagnese — Executive V.P. · (740) 348-4000 |
| Other names | Licking Memorial Gastroenterology |
| NPI enumerated | July 20, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1320 W Main St, Newark, OH 43055-1822 |
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