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Organization
GOLD MEDICAL
Active
Organization
GOLD MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH HOPE BONZA M.D. (OWNER/ PHYSICIAN)
(800) 237-0836
Entity
Organization
Contact information
Practice address
1799 W 5TH AVE, SUITE 252, COLUMBUS, OH 43212-2322
(800) 237-0836
Mailing address
1799 W 5TH AVE, SUITE 252, COLUMBUS, OH 43212-2322
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
N/A
OH
332BX2000X
Oxygen Equipment & Supplies (DME)
N/A
OH
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487694709
NPI/ INDIVIDUAL
OH
Enumeration date
09/29/2010
Last updated
10/04/2010
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