Organization
OBGYN WOMENS HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMAD Y MOUSA M.D. (OWNER)
(740) 383-4090
Entity
Organization
Contact information
Practice address
1043 HARDING MEMORIAL PKWY, MARION, OH 43302-6315
(740) 383-4090
(740) 383-2850
Mailing address
1043 HARDING MEMORIAL PKWY, MARION, OH 43302-6315
(740) 383-4090
(740) 383-2850
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
35092078
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11865318
CAQH
OH
05
—
2873029
—
OH
Enumeration date
09/15/2009
Last updated
08/03/2017
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