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Individual

BENJAMIN BOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 227-3361
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01080571A
IN
208000000X
Pediatrics Physician
35147119
OH
208M00000X
Hospitalist Physician
Primary
35147119
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0341127
OH
Enumeration date
06/24/2015
Last updated
08/30/2023
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