Organization
CENTRAL OHIO COLON AND RECTAL CTR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANGELA M. WHITT ESQ. (ADMINISTRATOR)
(614) 864-1000
Entity
Organization
Contact information
Practice address
5965 E BROAD ST, SUITE 120, COLUMBUS, OH 43213-1562
(614) 864-1000
(614) 864-1444
Mailing address
5965 EAST BROAD STREET, SUITE 120, COLUMBUS, OH 43213
(614) 864-1000
(614) 864-1444
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0374929
—
OH
05
—
2313419
—
OH
05
—
2313428
—
OH
05
—
2327897
—
OH
Enumeration date
01/11/2007
Last updated
11/02/2011
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