Organization
M.A. JAN, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD A JAN M.D. (OWNER)
(937) 275-2468
Entity
Organization
Contact information
Practice address
214 ELM ST, LONDON, OH 43140-2131
(740) 852-4100
Mailing address
214 ELM ST, LONDON, OH 43140-2131
(740) 852-4100
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35035556
OH
Other
Enumeration date
05/16/2007
Last updated
05/15/2008
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