Licking Memorial Professional Corporation
Licking Memorial Professional Corporation is a Geriatric Medicine (Family Medicine) Physician in Newark, Ohio. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
151 Price RdNewark, OH 43055-3317
Phone: (740) 348-7935
Fax: (740) 348-7936
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Specialties & licences
| Geriatric Medicine (Family Medicine) Physician (primary) | Taxonomy 207QG0300X |
|---|
Record details
| NPI number | 1952581274 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Poulson — Cfo · (740) 348-4110 |
| Other names | Licking Memorial Geriatric Medicine At Lpn |
| NPI enumerated | November 5, 2007 |
| Last updated in NPPES | November 5, 2007 |
| Mailing address | 151 Price Rd, Newark, OH 43055-3317 |
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Licking Memorial Professional Corporation
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