Jefferson Township
Specialty details in registry · Blacklick, OH
At a glance
6767 Havens Corners Rd, Blacklick, OH 43004-8317
NPPES record updated Nov 19, 2024. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
6767 Havens Corners RdBlacklick, OH 43004-8317
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 3416L0300X
- Enumeration date
- Aug 17, 2005
- Record updated
- Nov 19, 2024
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
3416L0300X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
6767 Havens Corners RdBlacklick, OH 43004-8317
- Phone
- (614) 861-3757
Mailing address
PO BOX 392907PITTSBURGH, PA 152519900
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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