Organization
LICKING MEMORIAL PROFESSIONAL CORP.
Active
Other names
Licking Memorial Pediatrics East
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A. MONTAGNESE (CREDENTIALING COORDINATOR)
(740) 348-4027
Entity
Organization
Contact information
Practice address
399 E MAIN ST, NEWARK, OH 43055-6516
(740) 348-1840
(740) 348-1841
Mailing address
399 E MAIN ST, NEWARK, OH 43055-6516
(740) 348-1840
(740) 348-1841
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us