Othello R Repuyan MD

NPI #1437254398 in Canton, Ohio

Provider Information

NPI Number: 1437254398
Entity Type: Organization
Organization Name: Othello R Repuyan MD
Primary Specialty: Pediatrics
Enumeration Date: Sep 14, 2006
Last Updated: Jun 17, 2008

Practice Location

Address: 4188 HOLIDAY ST NW
City: Canton
State: Ohio
ZIP Code: 44718
Phone: (330) 492-4277

Authorized Official

Name: OTHELLO R REPUYAN, MD
Title: PRESIDENT
Phone: (330) 492-4277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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