Dermatology Associates Of Canton, Llc

NPI 1386083467 - Dermatology - 207N00000X

NPI Details
NPI 1386083467
Enumeration Date 06/21/2013
Last Updated 05/12/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name LISA MARIE LISA
Position PHYSICIAN
Phone (330) 491-4700
Fax (330) 497-0667
Practice Location
4677 FULTON DR NW
CANTON OH, 44718-2379, US
Phone (330) 491-4700
Fax (330) 497-0667
Business Location
4677 FULTON DR NW
CANTON OH, 44718-2379, US
Phone (330) 491-4700
Fax (330) 497-0667
Toxanomy
Taxonomy Code 207N00000X
License State Ohio
License Number 350755495
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According to our database, Dermatology Associates Of Canton, Llc NPI is 1386083467, taxonomy code is 207N00000X and license number is 350755495, license state is located at Ohio. Dermatology Associates Of Canton, Llc physically located at 4677 Fulton Dr Nw, Canton OH, 44718-2379. NPI Number 1033115704 has the healthcare provider type.

1386083467 NPI number is provided on an as is basis without warranty of any kind. 1386083467 is maintained by the National Plan & Provider Enumeration System. The contents of Dermatology Associates Of Canton, Llc are for informational purposes only.