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Ernesto T.yutiamco,m.d.,p.c.
General Practice Physician in Madison, West Virginia
NPI 1366451700

Ernesto T.yutiamco,m.d.,p.c. is a General Practice Physician based in Madison, WV. Ernesto T.yutiamco,m.d.,p.c. practices in Madison, WV. The NPI Number for Ernesto T.yutiamco,m.d.,p.c. is 1366451700 and holds a License No. 13306 (West Virginia).

The current practice location address for Ernesto T.yutiamco,m.d.,p.c. is 483 Main St, Madison, WV and can be reached out via phone at 304-369-0221 and via fax at 304-369-0222.

Location: 483 Main St, Madison, WV, 25130-0428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366451700
Provider Name
Ernesto T.yutiamco,m.d.,p.c.
Credential
Provider Entity Type
Organization
Address
483 Main St, Madison, WV, 25130-0428
Phone Number
304-369-0221
Fax Number
304-369-0222
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0049816000 05 WV
institution
Provider Business Practice Location Address Details
Address
483 Main St
City
Madison
State
West Virginia
Zip
25130-1223
Phone Number
304-369-0221
Fax Number
304-369-0222
person
Provider Business Mailing Address Details
Address
483 Main St
City
Madison
State
West Virginia
Zip
25130-1223
Phone Number
304-369-0221
Fax Number
304-369-0222
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
13306 (West Virginia)
Definition
Definition to come...
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