Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 34.01530 | OH |
NPI | 1093102147 |
---|---|
Provider Name | Marie-Josee Page |
First Address | Dublin, OH 43017-0727 |
Second Address | Columbus, OH 43228-1524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2015 |
Last Update Date | 09/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0460832 | (05) | OH |