Organization
MEDICAL CARE OF MARYSVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGAH E. ELAROSSI M.D. (OWNER)
(937) 578-2860
Entity
Organization
Contact information
Practice address
773 S WALNUT ST, MARYSVILLE, OH 43040-1643
(937) 578-2860
Mailing address
200 BRADENTON AVE, DUBLIN, OH 43017-7515
(614) 793-1980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-08-6156
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2581755
—
OH
Enumeration date
07/15/2006
Last updated
08/22/2020
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