Organization
UROLOGY ONE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BECHARA G TABET MD (PRESIDENT)
(330) 456-6760
Entity
Organization
Contact information
Practice address
1330 MERCY DR NW STE 510, CANTON, OH 44708
(330) 456-6760
(330) 452-4557
Mailing address
1330 MERCY DR NW STE 510, CANTON, OH 44708-2625
(330) 456-6760
(330) 452-4557
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2312910
—
OH
05
—
2312929
—
OH
05
—
2312938
—
OH
05
—
2313204
—
OH
05
—
2332845
—
OH
05
—
2556818
—
OH
05
—
2556827
—
OH
01
—
CJ7684
RR MCR GROUP
—
Enumeration date
10/25/2006
Last updated
08/13/2018
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