Individual
DR. NICHOLAS BISCONTI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 SEVENTH ST SW, CANTON, OH 44710-1709
(330) 453-4300
(330) 453-3617
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 363-7444
(330) 363-7770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35054433
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0787402
—
OH
Enumeration date
03/11/2007
Last updated
01/09/2020
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