Organization
GASTROENTEROLOGY OF CANTON INC
Active
Other names
GOC Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARI TOWNSEND (OFFICE MANAGER)
(330) 492-6662
Entity
Organization
Contact information
Practice address
4124 MUNSON ST NW, SUITE A, CANTON, OH 44718-2979
(330) 492-6662
(330) 492-6918
Mailing address
4124 MUNSON ST NW, SUITE A, CANTON, OH 44718-2979
(330) 492-6662
(330) 492-6918
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35046973
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000137194
ANTHEM
OH
05
—
0559819
—
OH
01
—
100000769
RAILROAD MEDICARE
OH
01
—
735536
BUCKEYE COMMUNITY
OH
Enumeration date
01/16/2007
Last updated
08/12/2014
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