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NORTHEAST OHIO ENDOCRINOLOGY NPI 1255434494


NPI Information

NPI: 1255434494
Provider Name: NORTHEAST OHIO ENDOCRINOLOGY
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 36D0923236

Address:
4634 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
Phone: (330) 477-0255
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NORTHEAST OHIO ENDOCRINOLOGY is an endocrinology and diabetes and metabolism internal medicine in Canton, OH. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. NORTHEAST OHIO ENDOCRINOLOGY NPI is 1255434494. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4634 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708-510
Phone: (330) 477-0255
Fax: (330) 477-7266

The provider's authorized official is Susan Malinowski .
The authorized official title is Medical Office Manager and has the following contact phone number (330) 477-0255.

The CLIA number assigned to this NPI record is 36D0923236 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 8/14/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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