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Individual

DR. FLORENCIO PASCUAL NERI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
702 STAFFORD DR, PRINCETON, WV 24740-2406
(304) 425-0085
(304) 487-6993
Mailing address
702 STAFFORD DR, PO BOX 5394, PRINCETON, WV 24740-2406
(304) 425-0085
(304) 425-6283

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11431
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001710002
MT ST
05
0055660000
WV
01
1326813
FUNDS
WV
01
213442
CARELINK
01
D10010811
RR MEDICARE
WV
Enumeration date
10/18/2005
Last updated
02/04/2010
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