Organization
PHYSICIAN SERVICES OF OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVEDUL HAQUE MD (MEDICAL DIRECTOR)
(330) 361-0908
Entity
Organization
Contact information
Practice address
2527 MACNAUGHTEN ST NW, NORTH CANTON, OH 44720-9529
(330) 361-0908
(330) 305-6762
Mailing address
2527 MACNAUGHTEN ST NW, NORTH CANTON, OH 44720-9529
(330) 361-0908
(330) 305-6762
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35081681
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2527402
—
OH
Enumeration date
04/19/2007
Last updated
07/24/2007
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