Individual
DR. JOHNNY J ABIDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 N EWING ST, SUITE 305, LANCASTER, OH 43130-3382
(740) 681-9447
(740) 681-9966
Mailing address
135 N EWING ST, SUITE 305, LANCASTER, OH 43130-3382
(740) 681-9447
(740) 681-9966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35067115A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157717
—
OH
Enumeration date
01/12/2006
Last updated
07/23/2012
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