Individual
CHRISTOPHER KENNETH CIARDIELLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
DRY RUN ROAD, MARTINSBURG, WV 25401
(304) 264-1000
Mailing address
4700 BERWYN HOUSE RD, SUITE 207, COLLEGE PARK, MD 20740-2474
(301) 220-0150
(301) 220-1032
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
643
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550738254033
BCBSMT STATE
WV
Enumeration date
07/12/2005
Last updated
07/08/2007
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