Licking Memorial Professional Corporation
Licking Memorial Professional Corporation provides Family Medicine Physician services in Newark, Ohio. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
150 McMillen DrNewark, OH 43055-1811
Phone: (740) 348-4827
Fax: (740) 348-1894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1093757155 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Montagnese — Executive Vice President · (740) 348-4000 |
| Other names | Licking Memorial Family Practice |
| NPI enumerated | June 12, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 150 McMillen Dr, Newark, OH 43055-1811 |
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