Individual
DR. CLINT JOSEPH OOMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 MATTHEW ST STE 302, MARIETTA, OH 45750-1656
(740) 568-5207
Mailing address
106 MILFORD STREET, SUITE 605, SALISBURY, MD 21804
(410) 334-2227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49431
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
35.137006
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
05/12/2010
Last updated
04/07/2021
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