Mary J Gombash in Toledo - Addiction Medicine

Mary J Gombash - NPI 1528021201

Mary J Gombash is a Addiction Medicine in Toledo, Ohio. Mary J Gombash practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Mary J Gombash is 1528021201. The last update date is 2007-07-25.

Mary J Gombash's current location address is 4571 Westbourne Rd, Toledo, Ohio. You can contact this provider via phone number 4198411660 and fax number 4198414103. The mailing address for Mary J Gombash is 4571 Westbourne Rd, Toledo, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary J Gombash
Address 4571 Westbourne Rd, Toledo, Ohio
Phone Number 4198411660
Fax Number 4198414103
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1528021201
Provider Enumeration Date 2006-04-11
Last Updated Date 2007-07-25

Provider Mailing Address Detail

Address 4571 Westbourne Rd
City Toledo
State Ohio (OH)
Post Code 436232015
Phone Number 4198411660
Fax Number 4198414103

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 2084A0401X
Licence No 35047714
Definition:
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
688707 OH --

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FAQs about Mary J Gombash

What is the unique 10-digit identifier code assigned to Mary J Gombash by the Centers for Medicare & Medicaid Services?

The Mary J Gombash has been issued the NPI (National Provider Identifier) 1528021201 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Mary J Gombash is physically located?

The Mary J Gombash is situated at the following address: 4571 Westbourne Rd, Toledo, OH 436232015.

What is Mary J Gombash's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mary J Gombash's area of specialization is Addiction Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2084A0401X.

When was the Mary J Gombash's 1528021201 issued?

The Mary J Gombash's 1528021201 was issued on 2006-04-11.

When was the Mary J Gombash's information last updated?

The Mary J Gombash's information was last updated on 2007-07-25.

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