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Individual

DR. ROBERT N DISIMONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2465 OAKWAY ST NW, NORTH CANTON, OH 44720-5886
(330) 494-9541
(330) 494-9540
Mailing address
2465 OAKWAY ST NW, NORTH CANTON, OH 44720-5886
(330) 494-9541
(330) 494-9540

Taxonomy

Speciality
Code
Description
License number
State
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
35.026612
OH
2085N0904X
Nuclear Radiology Physician
Primary
35 02 6612
OH
2085R0202X
Diagnostic Radiology Physician
35 02 6612
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0302354
OH
Enumeration date
11/02/2005
Last updated
09/25/2007
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