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Contact Information

NEOGERIATRICS
4808 MUNSON ST NW
CANTON, OH44718
 Phone: 330-830-8666
 Fax: 330-832-3499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NEOGERIATRICS · (Female)

NPI Number 1124259536
Status Active
Credentials
Entity Individual
Enumeration date 08/03/2009
Last updated 11/19/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 35-083145
  • OH Medicaid 2940956
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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