Individual
ELIZABETH PERSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5636 WORCESTER DR, COLUMBUS, OH 43232-3059
(216) 253-9040
Mailing address
5636 WORCESTER DR, COLUMBUS, OH 43232-3059
(216) 253-9040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35-83542
OH
207P00000X
Emergency Medicine Physician
Primary
35083542
OH
207R00000X
Internal Medicine Physician
35083542
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2456524
—
OH
05
—
3810007711
—
WV
01
—
P01058232
RAILROAD MEDICARE
OH
Enumeration date
05/02/2006
Last updated
08/21/2012
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