Organization
MADISON EMERGENCY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A COLE JR. MD (CEO)
(800) 726-3627
Entity
Organization
Contact information
Practice address
210 N MAIN ST, LONDON, OH 43140-1115
(740) 852-1372
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1402094
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316727
BC/BS GRP PROVIDER NUMBER
OH
05
—
2470553
—
OH
Enumeration date
08/01/2005
Last updated
08/25/2011
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