Organization
INPATIENT REHABILITATION GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINO DIIULLO MD (OWNER PRESIDENT)
(614) 433-9200
Entity
Organization
Contact information
Practice address
349 OLDE RIDENOUR RD, COLUMBUS, OH 43230-2528
(614) 433-9200
(614) 433-9201
Mailing address
6525 WEST CAMPUS OVAL, STE 150, NEW ALBANY, OH 43054
(614) 433-9200
(614) 433-9201
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
09/25/2008
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