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Organization
JOSEPH J DEPETRO III MD PROFESSIONAL CORPORATION
Active
Organization
JOSEPH J DEPETRO III MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J DEPETRO III MD (PRESIDENT)
(304) 737-0321
Entity
Organization
Contact information
Practice address
69 8TH ST, WELLSBURG, WV 26070-1605
(304) 737-0321
(304) 737-2979
Mailing address
PO BOX 6691, WHEELING, WV 26003-0913
(304) 233-2455
(304) 233-6073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/12/2007
Last updated
08/25/2014
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