Antonio Tamara Md Ltd

NPI 1053442541 - Pathology - 207ZP0102X

NPI Details
NPI 1053442541
Enumeration Date 03/08/2007
Last Updated 06/05/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANTONIO ANTONIO
Position OWNER
Phone (304) 264-1212
Fax
Practice Location
2500 HOSPITAL DRIVE
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
License Number
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According to our database, Antonio Tamara Md Ltd NPI is 1053442541, taxonomy code is 207ZP0102X Antonio Tamara Md Ltd physically located at 2500 Hospital Drive, Martinsburg WV, 25401-3402. NPI Number 1033115704 has the healthcare provider type.

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1053442541 NPI number is provided on an as is basis without warranty of any kind. 1053442541 is maintained by the National Plan & Provider Enumeration System. The contents of Antonio Tamara Md Ltd are for informational purposes only.