Organization
BUCKEYE ALLERGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT A BRONSTEIN M.D. (OWNER)
(614) 766-4903
Entity
Organization
Contact information
Practice address
6350 FRANTZ RD, DUBLIN, OH 43017-1382
(614) 766-4903
(614) 891-0429
Mailing address
PO BOX 183027, COLUMBUS, OH 43218-3027
(614) 766-4903
(614) 891-0428
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
35-02-4253
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2565951
—
OH
Enumeration date
04/17/2008
Last updated
04/17/2008
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