| Licking Memorial Family Practice East | |
|
399 E Main St Newark OH 43055-6516 | |
| (740) 348-1849 | |
| (740) 348-1847 |
| Full Name | Licking Memorial Family Practice East |
|---|---|
| Speciality | Family Medicine |
| Location | 399 E Main St, Newark, Ohio |
| Authorized Official Name and Position | Robert Montagnese (EXECUTIVE V.P.) |
| Authorized Official Contact | 7403484000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Licking Memorial Family Practice East 399 E Main St Newark OH 43055-6516 Ph: (740) 348-1849 | Licking Memorial Family Practice East 399 E Main St Newark OH 43055-6516 Ph: (740) 348-1849 |
| NPI Number | 1073531729 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073531729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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