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Individual

ESER TALUG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4076 HOLIDAY ST NW, CANTON, OH 44718-2513
(330) 492-5455
Mailing address
4076 HOLIDAY ST NW, CANTON, OH 44718-2513

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-06-0119
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0792898
OH
01
200203012
FEDERAL TAX ID
Enumeration date
11/02/2005
Last updated
03/07/2023
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