is a Gynecologic Oncology in Canton, Ohio. practices all healthcare services and medical treatments related to Gynecologic Oncology. The NPI Number for is 1326205303. The last update date is .
's current location address is 2600 6th St Sw, Canton, Ohio. You can contact this provider via phone number 3309941280 and fax number 3309941285. The mailing address for is 2600 6th St Sw, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2600 6th St Sw, Canton, Ohio |
| Phone Number | 3309941280 |
| Fax Number | 3309941285 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1326205303 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2600 6th St Sw |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 447101702 |
| Phone Number | 3309941280 |
| Fax Number | 3309941285 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecologic Oncology |
|---|---|
| Taxonomy | 207Vx0201X |
| Licence No | 35.099307 |
|
Definition: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and res |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 68771 | OH | -- | |
| 204881619 | OH | KAISER | |
| 2048816199IH | OH | CARESOURCE | |
| 204881619 | OH | UNITED HEALTHCARE | |
| 9667902 | OH | AETNA |
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