| NPI | 1245419688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO J DEL ROSARIO Owner 614-220-4188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH 35033390D) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-12-11 |