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Organization

STARK CARDIOTHORACIC SURGERY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN W PERRY M.D. (PRESIDENT)
(330) 280-6478
Entity
Organization

Contact information

Practice address
1330 MERCY DR NW, SUITE 410, CANTON, OH 44708-2626
(330) 280-6478
Mailing address
1330 MERCY DR NW, SUITE 410, CANTON, OH 44708-2626
(330) 280-6478

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
3507538P
OH

Other

Enumeration date
10/09/2007
Last updated
10/09/2007
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