Antonio Tamara MD

NPI 1043213655 - Pathology - 207ZP0102X

NPI Details
NPI 1043213655
Gender Male
Enumeration Date 05/27/2005
Last Updated 06/05/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
2500 HOSPITAL DRIVE
CITY HOSPITAL
MARTINSBURG WV, 25401-3402, US
Phone (304) 264-1212
Fax
Business Location
PO BOX 489
BLUEFIELD WV, 24701-0489, US
Phone
Fax
Toxanomy
Taxonomy Code 207ZP0102X
License State West Virginia
License Number 11343
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According to our database, Antonio Tamara MD NPI is 1043213655, taxonomy code is 207ZP0102X and license number is 11343, license state is located at West Virginia. Antonio Tamara MD physically located at 2500 Hospital Drive, Martinsburg WV, 25401-3402. NPI Number Antonio Tamara MD has the Individual type.

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1043213655 NPI number is provided on an as is basis without warranty of any kind. 1043213655 is maintained by the National Plan & Provider Enumeration System. The contents of Antonio Tamara MD are for informational purposes only.