Individual
EDMUND FOLEFAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 293-6196
(614) 293-0073
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-6196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
230007
MA
207RH0003X
Hematology & Oncology Physician
042.0012961
VT
207RX0202X
Medical Oncology Physician
Primary
35.132240
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0249608
—
OH
Enumeration date
07/15/2006
Last updated
12/07/2020
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