Organization
FAST TRACK ANESTHESIA
Active
Other names
FAST TRACK ANESTEHSIA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA ANNE PALUMBO MD (OWNER)
(304) 596-2387
Entity
Organization
Contact information
Practice address
1008 TAVERN RD, MARTINSBURG, WV 25401-2801
(304) 596-2378
(304) 596-2388
Mailing address
1008 TAVERN RD, MARTINSBURG, WV 25401-2801
(304) 596-2378
(304) 596-2388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002630
—
WV
Enumeration date
09/26/2006
Last updated
03/23/2011
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