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NPI Code Detail

MEDICARE: LOYAL COSHWAY MD

MEDICARE: LOYAL COSHWAY MD
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
1208000000XPediatrics Physician35121661OH
22080P0204XPediatric Emergency Medicine (Pediatrics) Physician35121661OH
32080P0205XPediatric Endocrinology Physician35121661OH

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 : 1952531550
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOYAL COSHWAY MD
Provider Business Mailing Address
First Line : 2100 W CENTRAL AVE
Second Line : SUITE 100
City : TOLEDO
State : OH
Zip : 43606-3800
Country : US
Telephone Number : 419-537-5111
Fax Number : 419-537-5131
Provider Business Practice Location Address
First Line : 2100 W CENTRAL AVE
Second Line : SUITE 100
City : TOLEDO
State : OH
Zip : 43606-3800
Country : US
Telephone Number : 419-537-5111
Fax Number : 419-537-5131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2009
Last Update Date : 11/03/2023

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Directions to “ LOYAL COSHWAY MD” Practice Location

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