| Advanced Breast Care And Wellness | |
|
6100 E Main St Suite 101 Columbus OH 43213-3399 | |
| (614) 367-1234 | |
| (614) 367-1233 |
| Full Name | Advanced Breast Care And Wellness |
|---|---|
| Speciality | General Practice |
| Location | 6100 E Main St, Columbus, Ohio |
| Authorized Official Name and Position | Abraham Mikalov (PRESIDENT) |
| Authorized Official Contact | 6143671234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Breast Care And Wellness Po Box 9664 Columbus OH 43209-0664 Ph: (614) 367-1234 | Advanced Breast Care And Wellness 6100 E Main St Suite 101 Columbus OH 43213-3399 Ph: (614) 367-1234 |
| NPI Number | 1881931418 |
|---|---|
| Provider Enumeration Date | 01/16/2013 |
| Last Update Date | 05/02/2024 |
| Medicare PECOS PAC ID | 7214836949 |
|---|---|
| Medicare Enrollment ID | O20130207000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881931418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Abraham Mikalov |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841351061 PECOS PAC ID: 2567361249 Enrollment ID: I20031231000572 |
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