Individual
MARNI A TERAMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8166
Mailing address
3131 NEWMARK DR STE 220, MIAMISBURG, OH 45342-5400
(937) 436-4658
(937) 436-4984
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
34006802
OH
207P00000X
Emergency Medicine Physician
Primary
34006802
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2156858
—
OH
01
—
4253854
MEDICARE PTAN
OH
01
—
4253855
MEDICARE PTAN
OH
Enumeration date
01/05/2006
Last updated
05/06/2020
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