| NPI | 1144499237 |
|---|---|
| Other Name | MT. CARMEL MALL DME |
| Entity Type | Organization |
| Authorized Contact | EDWARD B PEWITT Secretary/Treasurer 614-396-2684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2019-01-25 |