Organization
CAMBRIDGE ENT AND ALLERGY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BERNARD GHOLL M.D. (PRESIDENT, CEO)
(740) 439-3800
Entity
Organization
Contact information
Practice address
813 STEUBENVILLE AVE, CAMBRIDGE, OH 43725-2383
(740) 439-3800
Mailing address
813 STEUBENVILLE AVE, CAMBRIDGE, OH 43725
(740) 439-3800
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
35-08-2261-G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2387948
—
OH
Enumeration date
06/09/2006
Last updated
08/22/2020
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