Organization
GUMERCINDP R. JOSE, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUMERCINDO R JOSE M.D. (PRESIDENT)
(740) 282-9789
Entity
Organization
Contact information
Practice address
1524 SUNSET BLVD, SUITE D, STEUBENVILLE, OH 43952-1380
(740) 282-9789
(740) 282-7101
Mailing address
1524 SUNSET BOULEVARD, SUITE D, STEUBENVILLE, OH 43952
(740) 282-9789
(740) 282-7101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35035561
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223805
—
OH
Enumeration date
04/23/2007
Last updated
08/22/2020
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