Organization
NEUROCARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE M CASANOVA MD, PHD (AUTHORIZED OFFICIAL)
(330) 494-2097
Entity
Organization
Contact information
Practice address
4105 HOLIDAY ST NW, CANTON, OH 44718-2531
(330) 494-2097
(330) 494-9750
Mailing address
4105 HOLIDAY ST NW, CANTON, OH 44718-2531
(330) 494-2097
(330) 494-9750
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0370441
—
OH
01
—
CB4235
RAILROAD MEDICARE
OH
01
—
NE9166021
MEDICARE
OH
Enumeration date
10/04/2006
Last updated
01/13/2016
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