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NPI Code Detail

MEDICARE: RO-MAR MEDICAL INC

MEDICARE: RO-MAR MEDICAL INC
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
1207Q00000XFamily Medicine Physician35-02-9446OH

General Provider Information

NPI Number : 1447439252
Entity Type Code : Organization
Provider Name (Legal Business Name) : RO-MAR MEDICAL INC
Provider Business Mailing Address
First Line : PO BOX 170
Second Line :
City : NEW CONCORD
State : OH
Zip : 43762-0170
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 E MAIN ST
Second Line : SUITE 200B
City : NEW CONCORD
State : OH
Zip : 43762-1214
Country : US
Telephone Number : 740-826-7626
Fax Number :
Authorized Official
Title or Position : BILLING MANAGER
Name : LUKE MARSH
Credential :
Telephone Number : 740-453-6348
Provider Enumeration Date : 10/29/2007
Last Update Date : 10/31/2007

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Directions to “RO-MAR MEDICAL INC ” Practice Location

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