Organization · Type 2 NPI

Licking Memorial Professional Corporation

Hematology & Oncology Physician · Newark, OH

NPI number 1124048566 Active

Practice location

1320 W Main St
Newark, OH 43055-1822

Fax (740) 348-4412

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

143 other providers at this address

About NPI 1124048566

Licking Memorial Professional Corporation's National Provider Identifier is 1124048566, issued on Jul 20, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Newark, OH. The record was last updated on Aug 22, 2020.