Licking Memorial Professional Corporation

NPI #1710052170 in Newark, Ohio

Provider Information

NPI Number
1710052170
Entity Type
Organization
Organization Name
Licking Memorial Professional Corporation
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Nov 21, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1320 W MAIN ST
City
Newark
State
Ohio
ZIP Code
43055-1822
Phone
(740) 348-4133

Authorized Official

Name
ROBERT A. MONTAGNESE
Title
EXECUTIVE VICE PRESIDENT
Phone
(740) 348-4000

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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