Organization
4M EMERGENCY SYSTEMS ANDOVER LLC
Active
Other names
Alteon Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CHARLEY (CHIEF LEGAL OFFICER)
(240) 686-2300
Entity
Organization
Contact information
Practice address
476 S MAIN ST, ANDOVER, OH 44003-9602
(330) 841-4000
(330) 656-5901
Mailing address
12420 MILESTONE CENTER DR STE 200, GERMANTOWN, MD 20876-7111
(240) 686-2300
(240) 686-2329
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000385522
ANTHEM
OH
Enumeration date
05/17/2006
Last updated
07/21/2020
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