Individual
DR. IBIENE ADONYE OSUOBENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-1791
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-1791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57013742
OH
208M00000X
Hospitalist Physician
Primary
35.095111
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3084657
—
OH
Enumeration date
06/13/2008
Last updated
03/05/2024
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