Provider Demographics
NPI:1396792586
Name:TURJOMAN, A. JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:A. JOHN
Middle Name:
Last Name:TURJOMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8930 OHIO RIVER ROAD
Mailing Address - Street 2:
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694
Mailing Address - Country:US
Mailing Address - Phone:749-574-1903
Mailing Address - Fax:740-574-0784
Practice Address - Street 1:8930 OHIO RIVER ROAD
Practice Address - Street 2:
Practice Address - City:WHEELERSBURG
Practice Address - State:OH
Practice Address - Zip Code:45694
Practice Address - Country:US
Practice Address - Phone:749-574-1903
Practice Address - Fax:740-574-0784
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35082095T208000000X
OH35-082095T208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2371044Medicaid
OH2371044Medicaid