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Organization
UNITED PHYSICIANS CARE INC
Active
Organization
UNITED PHYSICIANS CARE INC
Active
Other names
Accident Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J CARUSO (EXECUTIVE DIRECTOR)
(304) 624-4655
Entity
Organization
Contact information
Practice address
106 CEMETERY RD, ACCIDENT, MD 21520-0247
(301) 746-8627
(301) 746-8629
Mailing address
686 S PIKE ST, STE A, SHINNSTON, WV 26431-1043
(304) 624-4655
(304) 624-3918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/01/2006
Last updated
01/02/2008
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