Individual
IRENE M WASYLYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
224 PROFESSIONAL PARK, BECKLEY, WV 25801-3624
(304) 255-9446
(304) 255-9447
Mailing address
224 PROFESSIONAL PARK, BECKLEY, WV 25801-3624
(304) 255-9444
(304) 255-9447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101233309
VA
207R00000X
Internal Medicine Physician
Primary
22010
WV
Other
Enumeration date
11/18/2005
Last updated
11/10/2011
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