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Contact Information

PETER E DIGIACOMO, DO
4151 HOLIDAY ST. NW
CANTON, OH44718
 Phone: 330-492-8001
 Fax: 330-492-2080
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PETER E DIGIACOMO · (Male)

NPI Number 1568493476
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/06/2006
Last updated 06/25/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 34005303
  • OH Medicaid 0855892
  • Other 0798533 AETNA
  • Other 1955296 CIGNA HEALTHCARE
  • Other 87539 QUALCHOICE
  • Other 160045665 RAILROAD MEDICARE
  • OH Other 000000137195 ANTHEM BLUE CROSS & BLUE
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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