Organization
STARK RADIATION ONCOLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP ALAN SCHNEIDER M.D. (PRESIDENT)
(330) 454-2210
Entity
Organization
Contact information
Practice address
300 MEDICAL PARK DR, DOVER, OH 44622-2073
(330) 454-2210
(330) 454-9397
Mailing address
PO BOX 80468, CANTON, OH 44708-0468
(330) 454-2210
(330) 454-9397
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2152030
—
OH
01
—
CG3181
RAILROAD MEDICARE PTAN
OH
Enumeration date
02/07/2008
Last updated
12/08/2008
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