| NPI | 1891975074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A. OTTAVIANO President 614-885-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35057331) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-12-17 |