# NORTHEAST OHIO BARIATRIC MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NEO Bariatric Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861721219
- **Authorized official:** DR. ROBERT HART M.D. (OWNER)
- **Authorized official phone:** (330) 473-4525

## Contact information

- **Practice address:** 890 WOOSTER RD, MILLERSBURG, OH 44654-1033
- **Practice address phone:** (330) 473-4525
- **Practice address fax:** (800) 673-5340
- **Mailing address:** 890 WOOSTER RD, MILLERSBURG, OH 44654-1033
- **Mailing address phone:** (330) 473-4525
- **Mailing address fax:** (800) 673-5340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 35053793 | OH | Yes |

## Other

- **Enumeration date:** 12/14/2009
- **Last updated:** 06/26/2013