Organization
WESTBROOK OB/GYN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR HIRAM BAZZOLI M.D. (PHYSICIAN)
(330) 455-5231
Entity
Organization
Contact information
Practice address
2525 13TH ST NW, CANTON, OH 44708-3118
(330) 455-5231
(330) 455-1403
Mailing address
2525 13TH ST NW, CANTON, OH 44708-3118
(330) 455-5231
(330) 455-1403
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000163741
ANTHEM
OH
01
—
000000182566
UNISON
OH
05
—
0971104
—
OH
01
—
104605
KAISER
OH
01
—
2012181
HOMETOWN HEALTH
OH
01
—
734099
BUCKEYE
—
01
—
WE9264621
MEDICARE
OH
Enumeration date
09/23/2007
Last updated
07/21/2008
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