Organization
CENTRAL OHIO SKIN LASER CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SMIALEK D.O. (PRESIDENT)
(614) 538-1200
Entity
Organization
Contact information
Practice address
4830 KNIGHTSBRIDGE BLVD, SUITE M, COLUMBUS, OH 43214-2300
(614) 538-1200
(614) 538-0499
Mailing address
4830 KNIGHTSBRIDGE BLVD, SUITE M, COLUMBUS, OH 43214-2300
(614) 538-1200
(614) 538-0499
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0906461
—
OH
01
—
DA9768
RAILROAD MEDICARE
OH
Enumeration date
09/14/2006
Last updated
12/04/2007
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