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Licking Memorial Professional Corporation
Hematology & Oncology Physician in Newark, Ohio
NPI 1124048566

Licking Memorial Professional Corporation is a Hematology & Oncology Physician based in Newark, OH and is specialized in Hematology & Oncology. Licking Memorial Professional Corporation practices in Newark, OH. The NPI Number for Licking Memorial Professional Corporation is 1124048566 and holds a License No. (Ohio).

The current practice location address for Licking Memorial Professional Corporation is 1320 W Main St, Newark, OH and can be reached out via phone at 740-348-4475 and via fax at 740-348-4412.

Location: 1320 W Main St, Newark, OH, 43055-1822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124048566
Provider Name
Licking Memorial Professional Corporation
Credential
Provider Entity Type
Organization
Address
1320 W Main St, Newark, OH, 43055-1822
Phone Number
740-348-4475
Fax Number
740-348-4412
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2141328 05 OH
institution
Provider Business Practice Location Address Details
Address
1320 W Main St
City
Newark
State
Ohio
Zip
43055-1822
Phone Number
740-348-4475
Fax Number
740-348-4412
person
Provider Business Mailing Address Details
Address
1320 W Main St
City
Newark
State
Ohio
Zip
43055-1822
Phone Number
740-348-4475
Fax Number
740-348-4412
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
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Definition
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.
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