E. A. Malacaman M. D. Llc

LBN: E. A. Malacaman M. D. Llc
E. A. Malacaman M. D. Llc is an health care organization with primary practice located at 128 Wertz Ave. N.W Ste. A, Canton OH 44708. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. E. A. Malacaman M. D. Llc can be contacted via phone (330) 493-9903, or through Malacaman, Edgardo A. via phone (330) 493-9903.

Contact Information

Primary practice address
128 Wertz Ave. N.W Ste. A Canton OH 44708
Phone: (330) 493-9903
Fax: (330) 493-9956
Website:
Map and Directions
Authorized official contact:
Name: Malacaman, Edgardo A. Doctor of Medicine (MD)
Phone: (330) 493-9903

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35034195 Ohio

Profile Details

NPI number 1295989002
LBN Legal business name E. A. Malacaman M. D. Llc
DBA Doing business as
Authorized official Malacaman, Edgardo A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2008
Last updated Aug 5th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295989002 NPPES
Ohio MEDICAID 0209429

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