Individual
JOANNE POJE TOMASULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5455 LILAC AVE, GROVE CITY, OH 43123
(614) 302-8023
Mailing address
5455 LILAC AVE, GROVE CITY, OH 43123-7925
(614) 302-8023
(614) 302-8023
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
35.78117
OH
207V00000X
Obstetrics & Gynecology Physician
35.78117
OH
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
35078117
OH
208D00000X
General Practice Physician
35.078117
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2206937
—
OH
01
—
35.078117
MEDICAL LICENSE NUMBER
OH
Enumeration date
01/30/2007
Last updated
11/14/2019
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