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Individual

DR. STANLEY SAMUEL MASILAMANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2585 3RD AVENUE, HUNTINGTON, WV 25703
(304) 781-5138
Mailing address
P.O. BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101231676
VA
207RG0100X
Gastroenterology Physician
Primary
10036
WV

Other

Enumeration date
10/04/2006
Last updated
12/01/2010
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