Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 35-028291 | OH |
NPI | 1144229733 |
---|---|
Provider Name | Nicholas Reed |
First Address | Newark, OH 43055-1841 |
Second Address | Newark, OH 43055-1841 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2005 |
Last Update Date | 08/07/2007 |