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Individual

DR. NORBERT J CARDOSO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3508 STAUNTON AVE SE, CHARLESTON, WV 25304-1477
(304) 925-4086
Mailing address
PO BOX 3444, CHARLESTON, WV 25334-3444
(304) 925-5486
(304) 925-8075

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20251
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2002990000
WV
Enumeration date
08/09/2005
Last updated
07/08/2007
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