Individual
JOSE M CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
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
35068865
OH
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
35-068865
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0234580
—
OH
Enumeration date
07/10/2006
Last updated
12/06/2007
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