# STARK CARDIOTHORACIC SURGERY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649468240
- **Authorized official:** DR. JOHN W PERRY M.D. (PRESIDENT)
- **Authorized official phone:** (330) 280-6478

## Contact information

- **Practice address:** 1330 MERCY DR NW, SUITE 410, CANTON, OH 44708-2626
- **Practice address phone:** (330) 280-6478
- **Mailing address:** 1330 MERCY DR NW, SUITE 410, CANTON, OH 44708-2626
- **Mailing address phone:** (330) 280-6478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 3507538P | OH | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 10/09/2007
