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Individual

MS. MARLA A KANTARAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4575 EVERHARD RD NW, CANTON, OH 44718-2406
(330) 494-5600
(330) 966-1644
Mailing address
4575 EVERHARD RD NW, CANTON, OH 44718-2406
(330) 494-5600
(330) 966-1644

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
350738555
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2057018
OH
Enumeration date
09/02/2005
Last updated
01/19/2012
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