Organization
ADVANCED FAMILY MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER TSAI MD (PRESIDENT)
(740) 532-5944
Entity
Organization
Contact information
Practice address
205 MARION PIKE, COAL GROVE, OH 45638-3165
(740) 532-5944
Mailing address
205 MARION PIKE, COAL GROVE, OH 45638-3165
(740) 532-5944
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
35085449
OH
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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