Organization
GASTROENTEROLOGY OF CANTON ENDOSCOPY CENTER INC
Active
Other names
GOC Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARI L 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
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0382AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000357184
ANTHEM
OH
05
—
2038262
—
OH
01
—
651202
AETNA
OH
Enumeration date
07/01/2006
Last updated
06/04/2008
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