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Individual

KIMBERLY M. TARTAGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
410 W 10TH AVE FL 2, COLUMBUS, OH 43210-1240
(614) 293-7499
(614) 366-2360
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-7499
(614) 366-2360

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35091220
OH
208000000X
Pediatrics Physician
35091220
OH
208M00000X
Hospitalist Physician
Primary
35.091220
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2821772
OH
Enumeration date
09/10/2007
Last updated
03/06/2024
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