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

Licking Memorial Professional Corporation

Organization Cardiovascular Disease Physician · NPI 1710052170

Licking Memorial Professional Corporation provides Cardiovascular Disease Physician services 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) 348-4133
Fax: (740) 348-4181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1710052170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Montagnese — Executive Vice President · (740) 348-4000
Other names Licking Memorial Cardiology
NPI enumeratedNovember 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1320 W Main St, Newark, OH 43055-1822

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