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Organization

CENTRAL OHIO UROLOGY GROUP, LLC

Active
Other names
Mt. Carmel Mall DME
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD B PEWITT M.D. (SECRETARY/TREASURER)
(614) 396-2684
Entity
Organization

Contact information

Practice address
750 MOUNT CARMEL MALL, SUITE 350, COLUMBUS, OH 43222-1553
(614) 396-2684
(614) 396-2480
Mailing address
750 MOUNT CARMEL MALL, SUITE 350, COLUMBUS, OH 43222-1553
(614) 396-2684
(614) 396-2480

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OH

Other

Enumeration date
02/22/2008
Last updated
01/25/2019
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