Organization
DERMATOLOGY ASSOCIATES OF CANTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE SAYOC MD (PHYSICIAN)
(330) 491-4700
Entity
Organization
Contact information
Practice address
4677 FULTON DR NW, CANTON, OH 44718-2379
(330) 491-4700
(330) 497-0667
Mailing address
4677 FULTON DR NW, CANTON, OH 44718-2379
(330) 491-4700
(330) 497-0667
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
350755495
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2247232
—
OH
Enumeration date
06/21/2013
Last updated
05/12/2014
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