Organization
CG ENDOSCOPY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD T SCHIRACK DO (MEDICAL DIRECTOR)
(330) 479-4232
Entity
Organization
Contact information
Practice address
3722 DRESSLER RD NW, CANTON, OH 44718
(330) 479-4232
(330) 477-5805
Mailing address
3722 DRESSLER RD NW, CANTON, OH 44718
(330) 479-4232
(330) 477-5805
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
0665AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2321759
—
OH
Enumeration date
07/14/2006
Last updated
10/11/2007
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