Individual
JOHN ANTHONY COCUMELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5193 W BROAD ST STE 200, COLUMBUS, OH 43228-1695
(614) 544-1450
(614) 533-0136
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34003894
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0626915
—
OH
Enumeration date
10/03/2006
Last updated
07/01/2024
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