Individual
ROBERTO NOVOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-1341
(330) 363-0074
Mailing address
PO BOX 6329, CANTON, OH 44706-0329
(330) 363-1341
(330) 363-0074
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35057654
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0791353
—
OH
Enumeration date
06/15/2005
Last updated
02/16/2010
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