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Dr. Sean Charles Dicristofaro, MD
Specialist in Hurricane, West Virginia
NPI 1053370056

Sean Charles Dicristofaro is a Specialist based in Hurricane, WV. Sean Charles Dicristofaro practices in Hurricane, WV and has the professional credentials of MD. The NPI Number for Sean Charles Dicristofaro is 1053370056 and holds a License No. WV19679 (West Virginia).

The current practice location address for Sean Charles Dicristofaro is 104 Station Place Way, Hurricane, WV and can be reached out via phone at 304-757-7788 and via fax at 304-201-1140.

Location: 104 Station Place Way, Hurricane, WV, 25526-8747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053370056
Provider Name
Sean Charles Dicristofaro
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
104 Station Place Way, Hurricane, WV, 25526-8747
Phone Number
304-757-7788
Fax Number
304-201-1140
Provider Enumeration Date
03/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5630468000 05 WV
institution
Provider Business Practice Location Address Details
Address
104 Station Place Way
City
Hurricane
State
West Virginia
Zip
25526-8747
Phone Number
304-757-7788
Fax Number
304-201-1140
person
Provider Business Mailing Address Details
Address
104 Station Place Way
City
Hurricane
State
West Virginia
Zip
25526-8747
Phone Number
304-757-7788
Fax Number
304-201-1140
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
WV19679 (West Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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