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Organization

PROMEDICA CENTRAL PHYSICIANS LLC

Active
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Organization

PROMEDICA CENTRAL PHYSICIANS LLC

Active
Other names
Arun D Mathur MD
Organization subpart
No

Provider details

NPI number
Authorized official
AMY L BAHNSEN (CREDENTIALING SUPERVISOR)
(419) 824-7334
Entity
Organization

Contact information

Practice address
5308 HARROUN RD, SUITE 170, SYLVANIA, OH 43560-2114
(419) 824-1999
(419) 882-7016
Mailing address
5308 HARROUN RD, SUITE 170, SYLVANIA, OH 43560-2114
(419) 824-1999
(419) 882-7016

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
—
OH

Other

Enumeration date
04/16/2013
Last updated
04/16/2013
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