Organization
CENTRAL OHIO UROLOGY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE GIACOMELLI (DIRECTOR OF OPERATIONS)
(614) 396-2635
Entity
Organization
Contact information
Practice address
701 TECH CENTER DR, SUITE 100, GAHANNA, OH 43230-1987
(614) 396-2684
(614) 396-2480
Mailing address
701 TECH CENTER DR, SUITE 100, GAHANNA, OH 43230-1987
(614) 396-2684
(614) 396-2480
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1495470
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2660820
—
OH
Enumeration date
03/25/2015
Last updated
01/25/2019
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