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Organization
DIABETES, ENDOCRINOLOGY & LIPIDOLOGY CENTER, INC.
Active
Organization
DIABETES, ENDOCRINOLOGY & LIPIDOLOGY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP JOSEPH RYAN M.D. (PRESIDENT)
(304) 260-1060
Entity
Organization
Contact information
Practice address
176 HEALTH CARE LN, SUITE B, MARTINSBURG, WV 25401-4010
(304) 260-1060
(304) 260-1062
Mailing address
176 HEALTH CARE LN, SUITE B, MARTINSBURG, WV 25401-4010
(304) 260-1060
(304) 260-1062
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
21393
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810022262
—
WV
Enumeration date
11/10/2011
Last updated
02/07/2012
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