LICKING MEMORIAL PROFESSIONAL CORP. is a geriatric medicine family medicine in Newark, OH. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. LICKING MEMORIAL PROFESSIONAL CORP. NPI is 1235311358. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Licking Memorial Geriatric Medicine At Autumn.
The provider's business location address is:
17 FORRY ST
NEWARK, OH
ZIP 43055-004
Phone: (740) 348-7935
Fax: (740) 348-7936
The provider's authorized official is Thomas N. Poulson .
The authorized official title is Cfo and has the following contact phone number (740) 348-4110.
The enumeration date for this NPI number is 11/30/2007 and was last updated on 11/30/2007.