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Organization
STAR PEDIATRIC CARE
Active
Organization
STAR PEDIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASIA ANNETTE EVERETT (PRESIDENT/ CEO)
(330) 209-9945
Entity
Organization
Contact information
Practice address
128 WERTZ AVE NW STE A, CANTON, OH 44708-4196
(330) 621-0553
(234) 444-5387
Mailing address
128 WERTZ AVE NW STE A, CANTON, OH 44708-4196
(330) 621-0553
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
—
NULL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
282NC2000X
Children's Hospital
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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