Organization
MARYSVILLE ARTHRITIS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABHA R. GUPTA M.D. (OWNER)
(937) 578-4343
Entity
Organization
Contact information
Practice address
500 LONDON AVE, MARYSVILLE, OH 43040-5512
(937) 578-2275
(937) 578-4677
Mailing address
200 BRADENTON AVE, DUBLIN, OH 43017-7515
(614) 793-1980
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
35-08-5561
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2553820
—
OH
Enumeration date
06/04/2006
Last updated
11/04/2009
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