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Individual

DR. PETER E DIGIACOMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4151 HOLIDAY ST. NW, CANTON, OH 44718
(330) 492-8001
(330) 492-2080
Mailing address
4151 HOLIDAY ST. NW, CANTON, OH 44718
(330) 492-8001
(330) 492-2080

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34005303
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000137195
ANTHEM BLUE CROSS & BLUE
OH
01
0798533
AETNA
05
0855892
OH
01
160045665
RAILROAD MEDICARE
01
1955296
CIGNA HEALTHCARE
01
87539
QUALCHOICE
Enumeration date
07/06/2006
Last updated
06/25/2015
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