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Individual

BRUCE S CHERTOW

Active
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Individual

BRUCE S CHERTOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11677
WV
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
11677
WV
207U00000X
Nuclear Medicine Physician
11677
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0082914000
WV
05
0414028
OH
05
64693815
KY
Enumeration date
04/18/2006
Last updated
07/13/2026
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