Organization
COMPREHENSIVE BREAST CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WEN C LIANG DO (OWNER)
(614) 933-0222
Entity
Organization
Contact information
Practice address
1080 BEECHER XING N, GAHANNA, OH 43230-4557
(614) 933-0222
(614) 573-7295
Mailing address
PO BOX 712737, CINCINNATI, OH 45271-2737
(513) 421-3504
(513) 231-7055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3400614
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2713184
—
OH
01
—
4046712
INDIVIDUAL MCR
OH
01
—
P00383995
RAILROAD MCR
OH
Enumeration date
01/08/2007
Last updated
12/15/2008
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