Organization
LICKING MEMORIAL PROFESSIONAL CORP.
Active
Other names
Licking Memorial Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A. MONTAGNESE (EXECUTIVE VP)
(740) 348-4000
Entity
Organization
Contact information
Practice address
15 MESSIMER DR, NEWARK, OH 43055-1841
(740) 348-4694
(740) 348-1978
Mailing address
15 MESSIMER DR, NEWARK, OH 43055-1841
(740) 348-4694
(740) 348-1978
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/18/2006
Last updated
08/22/2020
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