| The Ohio Masonic Home | |
|
2655 West National Road Springfield OH 45504-3617 | |
| (937) 525-3067 | |
| (937) 525-3067 |
| Full Name | The Ohio Masonic Home |
|---|---|
| Speciality | Internal Medicine |
| Location | 2655 West National Road, Springfield, Ohio |
| Authorized Official Name and Position | Anthony Berardi (PRESIDENT) |
| Authorized Official Contact | 9375253015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ohio Masonic Home 2655 West National Road Springfield OH 45504-3617 Ph: (937) 525-3067 | The Ohio Masonic Home 2655 West National Road Springfield OH 45504-3617 Ph: (937) 525-3067 |
| NPI Number | 1508410465 |
|---|---|
| Provider Enumeration Date | 07/30/2019 |
| Last Update Date | 07/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508410465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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