Individual
ELSWORTH CHARLES BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2600 TUSCARAWAS ST W STE 600, CANTON, OH 44708-4676
(330) 453-4300
Mailing address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34.013314
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2016
Last updated
08/02/2021
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