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Mervyn J. Samuel, M.D., INC.

Obstetrics & Gynecology in Columbus, OH. Organization (NPI-2).

NPI number1609972082
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1609972082
Entity type
Organization (NPI-2)
Legal business name
Mervyn J. Samuel, M.D., INC.
Organization subpart
No
Enumeration date
Sep 15, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology35-03-5794-SOHYes

Practice location

5910 Cleveland Ave.
Suite 100
Columbus, OH 43231

Phone 614-882-4343

Mailing address

200 Bradenton Avenue
Dublin, OH 43017

Phone 614-793-1982

Authorized official

Mervyn J. Samuel
Owner
6148824343

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