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Organization
LINCOLN PARK SURGERY CENTER
Active
Organization
LINCOLN PARK SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN PALEY MD (PARTNER)
(937) 424-5560
Entity
Organization
Contact information
Practice address
500 LINCOLN PARK BLVD, SUITE 100, KETTERING, OH 45429-3492
(937) 424-5560
(937) 424-5876
Mailing address
500 LINCOLN PARK BLVD, SUITE 100, KETTERING, OH 45429-3492
(937) 424-5560
(937) 424-5876
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
0730AS
OH
261QR0200X
Radiology Clinic/Center
Primary
1073-1C
OH
Other
Enumeration date
11/18/2005
Last updated
09/11/2025
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