Antonio Tamara Md Ltd

LBN: Antonio Tamara Md Ltd
Antonio Tamara Md Ltd is an health care organization with primary practice located at 2500 Hospital Drive , Martinsburg WV 25401-3402. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Antonio Tamara Md Ltd can be contacted via phone (304) 264-1212, or through Tamara, Antonio via phone (304) 264-1212.

Contact Information

Primary practice address
2500 Hospital Drive Martinsburg WV 25401-3402
Phone: (304) 264-1212
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tamara, Antonio Doctor of Medicine (MD)
Phone: (304) 264-1212

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1053442541
LBN Legal business name Antonio Tamara Md Ltd
DBA Doing business as
Authorized official Tamara, Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Jun 5th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053442541 NPPES
West Virginia MEDICAID 3810009862
West Virginia Other DG3243

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