Organization
JOHNSON J THOTTAM MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNSON JOHN THOTTAM M.D (PRESIDENT)
(330) 492-8521
Entity
Organization
Contact information
Practice address
4800 HIGBEE AVE NW, CANTON, OH 44718-2528
(330) 492-8521
(330) 492-1967
Mailing address
4800 HIGBEE AVE NW, CANTON, OH 44718-2528
(330) 492-8521
(330) 492-1967
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
037564
OH
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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