Organization
CENTRAL OHIO SKIN & CANCER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESS J DEMARIA MD (VICE PRESIDENT)
(614) 898-7546
Entity
Organization
Contact information
Practice address
3380 TREMONT RD, UPPER ARLINGTON, OH 43221
(614) 823-5584
(614) 457-2924
Mailing address
660 COOPER RD, STE 400, WESTERVILLE, OH 43081
(614) 898-7546
(614) 794-4294
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2321839
—
OH
01
—
CN6982
RR MEDICARE
—
Enumeration date
08/04/2006
Last updated
08/22/2020
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