Organization
CANTON PRIMARY CARE & HOSPITAL MEDICINE, INC..
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC X WANG M.D. (M.D.)
(330) 454-1693
Entity
Organization
Contact information
Practice address
4168 HOLIDAY ST NW, CANTON, OH 44718-2532
(330) 454-1693
(330) 454-1683
Mailing address
4168 HOLIDAY ST NW, CANTON, OH 44718-2532
(330) 454-1693
(330) 454-1683
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35074148W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000329691
ANTHEM
OH
01
—
1306802376
NPI
OH
05
—
2946834
—
OH
Enumeration date
03/27/2007
Last updated
10/19/2012
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