Organization
ALFREDO C VELASQUEZ MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFREDO C VELASQUEZ MD (DOCTOR)
(304) 345-3378
Entity
Organization
Contact information
Practice address
209 WASHINGTON ST W, CHARLESTON, WV 25302-2345
(304) 345-3378
(304) 344-4420
Mailing address
209 WASHINGTON ST W, CHARLESTON, WV 25302-2345
(304) 345-3378
(304) 344-4420
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9189
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089466000
—
WV
Enumeration date
12/10/2010
Last updated
02/08/2011
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