Licking Memorial Professional Corporation
Licking Memorial Professional Corporation provides Dermatology Physician services in Newark, Ohio. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
270 Goosepond RdNewark, OH 43055-3104 Not confirmed with CMS for 19 years — call before visiting
Phone: (740) 348-7945
Fax: (740) 348-7946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1740472604 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Renee Spring-Ives — Credentialing Coordnator · (740) 348-4027 |
| Other names | Licking Memorial Dermatology North Newark |
| NPI enumerated | August 15, 2007 |
| Last updated in NPPES | August 15, 2007 |
| Mailing address | 270 Goosepond Rd, Newark, OH 43055-3104 |
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