Organization
OHIO HOSPITAL-BASED PHYSICIAN CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH BESTIC (VP)
(330) 363-7462
Entity
Organization
Contact information
Practice address
2302 FULTON DRIVE NW, CANTON, OH 44709-1702
(330) 454-7237
Mailing address
2600 6TH ST SW, CANTON, OH 44710-1702
(330) 454-7237
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2374738
—
OH
Enumeration date
07/07/2006
Last updated
05/23/2022
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