Organization
MARIETTA CRITICAL CARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE A GILBERT DO (PRESIDENT)
(304) 424-4680
Entity
Organization
Contact information
Practice address
600 18TH ST, STE 131, PARKERSBURG, WV 26101
(304) 424-4680
(304) 424-4773
Mailing address
PO BOX 713203, COLUMBUS, OH 43271-0001
(800) 655-2656
(412) 822-7411
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208846000
—
WV
01
—
211020
BCBS
OH
05
—
2257507
—
OH
01
—
CH5486
RAILROAD MEDICARE
OH
Enumeration date
04/25/2006
Last updated
04/20/2008
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