Organization
CANTON GENERAL SURGERY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE CAMARATA (OFFICE MANAGER)
(330) 453-4300
Entity
Organization
Contact information
Practice address
2600 TUSCARAWAS ST W, SUITE 420, CANTON, OH 44708-4644
(330) 453-4300
(330) 453-3617
Mailing address
2600 TUSCARAWAS ST WEST, SUITE 420, CANTON, OH 44708
(330) 453-4300
(330) 453-3617
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0298628
—
OH
05
—
0668648
—
OH
05
—
2345966
—
OH
Enumeration date
11/30/2006
Last updated
10/18/2007
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