NPI 1104630912

Great Health Medical Oh INC

Organisation Family Medicine Physician Wooster, OH

Practice location

Address: 1552 N Honeytown Rd, Wooster, OH 44691-9511
Phone: (718) 470-0288
Mailing address: 407 Willoughby Ave, Brooklyn, NY 11205-4590

Authorised official

Name: Azlan Tariq
Title: Owner
Phone: (312) 709-7238

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Ohio →

Registry record

NPI: 1104630912
Entity type: Organization
NPI issued: 3 Feb 2025
Record last updated: 10 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.