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Organization
GEORGE PAPACOSTAS, LLC
Active
Organization
GEORGE PAPACOSTAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PAPACOSTAS MD (PRESIDENT)
(330) 495-5719
Entity
Organization
Contact information
Practice address
2600 6TH STREET SW, AULTMAN WOUND CARE CENTER, CANTON, OH 44710
(330) 363-4977
Mailing address
3206 20TH ST NW, CANTON, OH 44708-2918
(330) 495-5719
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
35084670
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2491898
—
OH
Enumeration date
04/06/2009
Last updated
03/25/2010
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