Individual
EDWARD JOHN OBERLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-6200
Mailing address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
35125653
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119328
—
OH
01
—
H330570
CGS - MEDICARE
OH
Enumeration date
04/06/2009
Last updated
02/27/2026
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