| Martinsburg Internal Medicine Assoc Inc | |
|
1002 Sushruta Dr Martinsburg WV 25401-8897 | |
| (304) 263-0913 | |
| (304) 267-2917 |
| Full Name | Martinsburg Internal Medicine Assoc Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1002 Sushruta Dr, Martinsburg, West Virginia |
| Authorized Official Name and Position | Jesse Brian Jalazo (PRESIDENT) |
| Authorized Official Contact | 3042630913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martinsburg Internal Medicine Assoc Inc 1002 Sushruta Dr Martinsburg WV 25401-8897 Ph: (304) 263-0913 | Martinsburg Internal Medicine Assoc Inc 1002 Sushruta Dr Martinsburg WV 25401-8897 Ph: (304) 263-0913 |
| NPI Number | 1558323006 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558323006 | NPI | - | NPPES |
| 0008030000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (West Virginia) | Primary |
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