Organization
HARTVILLE INTERNAL MEDICINE PA
Active
Parent organization
HARTVILLE INTERNAL MEDICINE PA
Other names
East Canton Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARTVILLE INTERNAL MEDICINE PA
Authorized official
AMIN YOUSSEF KHALIL M.D. (PRESIDENT)
(330) 877-9388
Entity
Organization
Contact information
Practice address
113 CEDAR ST S, EAST CANTON, OH 44730-1305
(330) 488-0767
(330) 488-2907
Mailing address
113 CEDAR ST S, PO BOX 30170, EAST CANTON, OH 44730-1305
(330) 488-0767
(330) 488-2907
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2621201
—
OH
Enumeration date
04/20/2006
Last updated
05/02/2012
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