Organization
LICKING MEMORIAL PROFESSIONAL CORPORATION
Active
Parent organization
LICKING MEMORIAL PROFESSIONAL CORPORATION
Other names
Licking Memorial Women's Health- North Newark
Organization subpart
Yes
Provider details
NPI number
Legal business name
LICKING MEMORIAL PROFESSIONAL CORPORATION
Authorized official
CYNTHIA L. WEBSTER (VP FINANCIAL SERVICE)
(740) 348-4518
Entity
Organization
Contact information
Practice address
270 GOOSEPOND ROAD, STE 102, NEWARK, OH 43055
(740) 348-7945
(740) 348-7946
Mailing address
270 GOOSEPOND RD., STE 102, NEWARK, OH 43055
(740) 348-7945
(740) 348-7946
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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