Organization
DAMASCUS FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELIA J. HERZOG M.D. (PRESIDENT)
(937) 578-4040
Entity
Organization
Contact information
Practice address
388 DAMASCUS RD, SUITE A, MARYSVILLE, OH 43040-8507
(937) 578-4040
(937) 587-2602
Mailing address
200 BRADENTON AVE, DUBLIN, OH 43017-7515
(614) 793-1980
(614) 793-1985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-06-5804
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2593162
—
OH
Enumeration date
05/10/2006
Last updated
08/22/2020
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