Organization
MARION WOMEN'S HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYBALAN R MOODLEY MD (OWNER)
(740) 383-2776
Entity
Organization
Contact information
Practice address
960 S PROSPECT ST, MARION, OH 43302-6225
(740) 383-2776
(740) 383-2978
Mailing address
960 S PROSPECT ST, MARION, OH 43302-6225
(740) 383-2776
(740) 383-2978
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210069
—
OH
05
—
2255198
—
OH
Enumeration date
03/14/2007
Last updated
05/29/2014
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