| Physician Services Of Ohio Llc | |
|
2527 Macnaughten St Nw North Canton OH 44720-9529 | |
| (330) 361-0908 | |
| (330) 305-6762 |
| Full Name | Physician Services Of Ohio Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2527 Macnaughten St Nw, North Canton, Ohio |
| Authorized Official Name and Position | Javedul Haque (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3303610908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Services Of Ohio Llc 2527 Macnaughten St Nw North Canton OH 44720-9529 Ph: (330) 361-0908 | Physician Services Of Ohio Llc 2527 Macnaughten St Nw North Canton OH 44720-9529 Ph: (330) 361-0908 |
| NPI Number | 1205053709 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205053709 | NPI | - | NPPES |
| 2527402 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35081681 (Ohio) | Primary |
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