Organization
RADIOLOGY SERVICES OF CANTON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY MCNULTY MD (PRESIDENT)
(330) 489-1070
Entity
Organization
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1070
Mailing address
PO BOX 20238, CANTON, OH 44701-0238
(877) 850-1243
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024940
BC/BS GROUP PIN NUMBER
OH
05
—
2532754
—
OH
Enumeration date
07/22/2005
Last updated
06/15/2010
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