Individual
DR. ANTONIOS E CHRYSSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6659 FRANK AVE NW, NORTH CANTON, OH 44720
(330) 966-3772
(330) 966-3799
Mailing address
3100 MACCORKLE AVE SE, STE 101, CHARLESTON, WV 25304-1215
(330) 966-3772
(330) 966-3799
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
28147
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0742969
—
OH
01
—
678917
ANTHEM BCBS
OH
Enumeration date
09/20/2005
Last updated
05/07/2018
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