Organization
HUDSON FAMILY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANETTE ANN MOLESKI D.O. (PRESIDENT)
(330) 655-2668
Entity
Organization
Contact information
Practice address
5111 DARROW RD, HUDSON, OH 44236-4003
(330) 655-2668
(330) 342-5608
Mailing address
5111 DARROW RD, HUDSON, OH 44236-4003
(330) 655-2668
(330) 342-5608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0677389
—
OH
01
—
M1005165
MEDAVANT CLEARING HOUSE
OH
Enumeration date
08/31/2007
Last updated
08/31/2007
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