Organization
CENTRAL OHIO PRIMARY CARE PHYSICIANS SPECIALTY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W WULF MD (CHIEF EXECUTIVE OFFICER)
(614) 865-8011
Entity
Organization
Contact information
Practice address
4885 OLENTANGY RIVER RD, COLUMBUS, OH 43214-1926
(614) 451-9229
(614) 451-0981
Mailing address
570 POLARIS PKWY, SUITE 250, WESTERVILLE, OH 43082-7900
(614) 326-2672
(614) 326-2685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
01/29/2007
Last updated
01/23/2014
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