Organization
MID-OHIO MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J POLLYEA MD (SOLE OWNER)
(614) 252-2191
Entity
Organization
Contact information
Practice address
181 TAYLOR AVE, STE 1501, COLUMBUS, OH 43203-1779
(614) 252-2191
(614) 252-2194
Mailing address
181 TAYLOR AVE, STE 1501, COLUMBUS, OH 43203-1779
(614) 252-2191
(614) 252-2194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0929857
—
OH
01
—
DG4264
RR MEDICARE
OH
Enumeration date
11/03/2006
Last updated
12/01/2016
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