Individual
EDGARDO A MALACAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
128 WERTZ AVE NW STE A, CANTON, OH 44708-4196
(330) 493-9903
(330) 493-9956
Mailing address
128 WERTZ AVE NW STE A, CANTON, OH 44708-4196
(330) 493-9903
(330) 493-9956
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35034195
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209429
—
OH
05
—
1295989002
—
OH
Enumeration date
08/21/2006
Last updated
08/04/2025
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