| J. A. Ottaviano M. D. Inc. | |
|
264 S Liberty St Powell OH 43065-7616 | |
| (614) 885-7337 | |
| (614) 885-0057 |
| Full Name | J. A. Ottaviano M. D. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 264 S Liberty St, Powell, Ohio |
| Authorized Official Name and Position | Joseph A. Ottaviano (PRESIDENT) |
| Authorized Official Contact | 6148857337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. A. Ottaviano M. D. Inc. 264 S Liberty St Powell OH 43065-7616 Ph: (614) 885-7337 | J. A. Ottaviano M. D. Inc. 264 S Liberty St Powell OH 43065-7616 Ph: (614) 885-7337 |
| NPI Number | 1891975074 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 12/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891975074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35057331 (Ohio) | Primary |
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