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Organization

STARK RADIATION ONCOLOGY INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP ALAN SCHNEIDER M.D. (PRESIDENT)
(330) 454-2210
Entity
Organization

Contact information

Practice address
2600 6TH ST SW, CANTON, OH 44710-1702
(330) 454-2210
(330) 454-9397
Mailing address
PO BOX 80468, CANTON, OH 44708-0468
(330) 454-2210
(330) 454-9397

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0371628
OH
01
CA4626
RAILROAD MEDICARE PTAN
OH
Enumeration date
07/06/2006
Last updated
12/08/2008
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