Organization
LONDON PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA ELLEN GEIB M.D. (PRESIDENT)
(740) 845-7650
Entity
Organization
Contact information
Practice address
55 PARK AVE, STE 240, LONDON, OH 43140-1121
(740) 845-7650
(740) 845-7651
Mailing address
55 PARK AVE, STE 240, LONDON, OH 43140-1121
(740) 845-7650
(740) 845-7651
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35074812
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2171742
—
OH
Enumeration date
12/06/2006
Last updated
11/21/2007
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