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NPI Code Detail

MEDICARE: STEVEN ALBERTSON MD

MEDICARE:   STEVEN  ALBERTSON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208C00000XColon & Rectal Surgery Physician35-06-0695AOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588666515
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN ALBERTSON MD
Provider Business Mailing Address
First Line : 2600 TUSCARAWAS ST W
Second Line : SUITE 620
City : CANTON
State : OH
Zip : 44708-4644
Country : US
Telephone Number : 330-455-8000
Fax Number : 330-455-6006
Provider Business Practice Location Address
First Line : 2600 TUSCARAWAS ST W
Second Line : SUITE 620
City : CANTON
State : OH
Zip : 44708-4644
Country : US
Telephone Number : 330-455-8000
Fax Number : 330-455-6006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 12/12/2007

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Directions to “ STEVEN ALBERTSON MD” Practice Location

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