Individual
MADELINE AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
915 W MARKET ST, LIMA, OH 45805-2768
(419) 229-4747
(419) 224-3348
Mailing address
589 WILDBROOK LN, LIMA, OH 45807-1991
(419) 999-1060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35 06 8718
OH
Other
Enumeration date
05/16/2006
Last updated
03/17/2008
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