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Organization

E. A. MALACAMAN M. D. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDGARDO A. MALACAMAN M.D. (MEDICAL DIRECTOR)
(330) 493-9903
Entity
Organization

Contact information

Practice address
128 WERTZ AVE. N.W, STE. A, CANTON, OH 44708
(330) 493-9903
(330) 493-9956
Mailing address
128 WERTZ AVE. N.W, STE. A, CANTON, OH 44708
(330) 493-9903
(330) 493-9956

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35034195
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0209429
OH
Enumeration date
11/06/2008
Last updated
08/05/2025
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