Ernesto T.yutiamco,m.d.,p.c.

NPI 1366451700 - General Practice - 208D00000X

NPI Details
NPI 1366451700
Enumeration Date 08/05/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ERNESTO T. ERNESTO
Position OWNER/PRESIDENT
Phone (304) 369-0221
Fax (304) 369-0222
Practice Location
483 MAIN ST
MADISON WV, 25130-1223, US
Phone (304) 369-0221
Fax (304) 369-0222
Business Location
PO BOX 428
MADISON WV, 25130-0428, US
Phone (304) 369-0221
Fax (304) 369-0222
Toxanomy
Taxonomy Code 208D00000X
License State West Virginia
License Number 13306
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According to our database, Ernesto T.yutiamco,m.d.,p.c. NPI is 1366451700, taxonomy code is 208D00000X and license number is 13306, license state is located at West Virginia. Ernesto T.yutiamco,m.d.,p.c. physically located at 483 Main St, Madison WV, 25130-1223. NPI Number 1033115704 has the healthcare provider type.

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1366451700 NPI number is provided on an as is basis without warranty of any kind. 1366451700 is maintained by the National Plan & Provider Enumeration System. The contents of Ernesto T.yutiamco,m.d.,p.c. are for informational purposes only.