LICKING MEMORIAL PROFESSIONAL CORPORATION NPI 1770503112

NPI Information

LICKING MEMORIAL PROFESSIONAL CORPORATION is a gastroenterology internal medicine in Newark, OH. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. LICKING MEMORIAL PROFESSIONAL CORPORATION NPI is 1770503112. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Licking Memorial Gastroenterology.

The provider's business location address is:

1320 W MAIN ST
NEWARK, OH
ZIP 43055-822
Phone: (740) 348-4137
Fax: (740) 348-4119

The provider's authorized official is Robert A. Montagnese .
The authorized official title is Executive V.p. and has the following contact phone number (740) 348-4000.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

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Other Identifiers

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