Organization
NORTH CANTON PODIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRIYANKA J MUDE DPM (OWNER)
(330) 494-4949
Entity
Organization
Contact information
Practice address
8328 CLEVELAND AVE NW, NORTH CANTON, OH 44720-4820
(330) 494-4949
Mailing address
8328 CLEVELAND AVE NW, NORTH CANTON, OH 44720-4820
(330) 494-4949
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0822015
—
OH
Enumeration date
11/01/2021
Last updated
04/07/2022
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