Individual
DR. CONSTANTINO Y AMORES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 MORRIS ST, SUITE 400, CHARLESTON, WV 25301-1842
(304) 344-3551
(304) 342-6927
Mailing address
415 MORRIS ST, SUITE 400, CHARLESTON, WV 25301-1842
(304) 344-3551
(304) 342-6927
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
10269
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088751000
—
WV
Enumeration date
04/13/2006
Last updated
07/08/2007
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