Tamara, Antonio

Tamara, Antonio is an sole proprietor health care provider with primary practice located at 2500 Hospital Drive City Hospital, Martinsburg WV 25401-3402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Tamara, Antonio can be contacted via phone (304) 264-1212.

Contact Information

Primary practice address
2500 Hospital Drive City Hospital Martinsburg WV 25401-3402
Phone: (304) 264-1212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 11343 West Virginia

Profile Details

NPI number 1043213655
LBN Legal business name Tamara, Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Jun 5th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043213655 NPPES
Other 110027353 RAILROAD MEDICARE
MEDICAID 0101794000 RAILROAD MEDICARE

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