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NPI Code Detail

MEDICARE: DR. MARY JANE MISISCHIA D.O.

MEDICARE: DR. MARY JANE MISISCHIA D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician34C00007OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003892084
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY JANE MISISCHIA D.O.
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-9441
Fax Number : 614-293-6420
Provider Business Practice Location Address
First Line : 181 TAYLOR AVE FL 13
Second Line :
City : COLUMBUS
State : OH
Zip : 43203-1779
Country : US
Telephone Number : 614-293-9441
Fax Number : 614-293-6420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 07/28/2023

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