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NPI Code Detail

MEDICARE: JOHN DAVID MOLESKY DO

MEDICARE: JOHN DAVID MOLESKY DO
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 Physician34-002839OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6791126290OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000010771OTHEROHANTHEM
201-20346OTHEROHUNITED HEALTH CARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41498350OTHEROHUNITED MINE WORKERS
54329815OTHEROHAETNA OFFICE 70365
7208183OTHEROHNATIONWIDE

General Provider Information

NPI Number : 1538274212
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN DAVID MOLESKY DO
Provider Business Mailing Address
First Line : 935 STATE ROUTE 28
Second Line :
City : MILFORD
State : OH
Zip : 45150-1957
Country : US
Telephone Number : 513-831-5955
Fax Number : 513-831-5985
Provider Business Practice Location Address
First Line : 935 STATE ROUTE 28
Second Line :
City : MILFORD
State : OH
Zip : 45150-1957
Country : US
Telephone Number : 513-831-5955
Fax Number : 513-831-5985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 04/29/2015

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Directions to “ JOHN DAVID MOLESKY DO” Practice Location

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