| Licking Memorial Professional Corp | |
|
1 Healthy Pl Suite 101 Pataskala OH 43062-7067 | |
| (740) 348-1900 | |
| (740) 348-1901 |
| Full Name | Licking Memorial Professional Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Healthy Pl, Pataskala, Ohio |
| Authorized Official Name and Position | Robert A. 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 Professional Corp 1 Healthy Pl Suite 101 Pataskala OH 43062-7067 Ph: (740) 348-1900 | Licking Memorial Professional Corp 1 Healthy Pl Suite 101 Pataskala OH 43062-7067 Ph: (740) 348-1900 |
| NPI Number | 1851325526 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851325526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
V.george Zochowski, D.o.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8200 Hazelton Etna Rd Sw, Suite 100, Pataskala, OH 43062 Phone: 740-927-7665 Fax: 740-964-0342 | |
Mid-ohio Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 Broad St Sw, Ste 1e, Pataskala, OH 43062 Phone: 740-927-5044 |