Individual
MR. STEPHEN M CONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4676 DOUGLAS CIR NW, CANTON, OH 44718-3619
(330) 494-1116
(330) 494-0276
Mailing address
4676 DOUGLAS CIR NW, CANTON, OH 44718-3619
(330) 494-1116
(330) 494-0276
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35122579
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
35.122579
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD450342
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104485
—
OH
01
—
036116860
LICENSE NUMBER
IL
05
—
0361168601
—
IL
01
—
05626127
BLUE CROSS BLUE SHIELD GP
IL
05
—
1028956360001
—
PA
01
—
35-122579
LICENSE
OH
01
—
MD450342
LICENSE
PA
Enumeration date
10/13/2006
Last updated
05/24/2021
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