Organization
FAIRFIELD INTERNAL MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY J ABIDIN MD (PRESIDENT)
(740) 681-9447
Entity
Organization
Contact information
Practice address
135 N EWING ST STE 305, LANCASTER, OH 43130-3379
(740) 681-9447
(740) 681-9966
Mailing address
135 N EWING ST STE 305, LANCASTER, OH 43130-3379
(740) 681-9447
(740) 681-9966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2152683
—
OH
Enumeration date
09/16/2006
Last updated
07/12/2007
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