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Contact Information

E. A. MALACAMAN M. D. LLC
128 WERTZ AVE. N.W
STE. A
CANTON, OH44708
 Phone: 330-493-9903
 Fax: 330-493-9956
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for E. A. MALACAMAN M. D. LLC

NPI # 1295989002
LBN Legal business name E. A. MALACAMAN M. D. LLC
Authorized official EDGARDO MALACAMAN - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2008
Last updated 08/05/2025 - About 10 months ago
Identifiers
OH License # 35034195
OH Medicaid 0209429
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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