Organization
OSU PATH COMPONENT LLC
Active
Organization
OSU PATH COMPONENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY S GEWIRTZ MD (DIRECTOR)
(614) 293-7372
Entity
Organization
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 292-7273
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 292-7273
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
35-06-7156-G
OH
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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