Individual
DR. MICHAEL J. BOMMARITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3075 US ROUTE 60 STE D225, HUNTINGTON, WV 25705-8859
(304) 528-4600
Mailing address
3075 US ROUTE 60, HUNTINGTON, WV 25705-8859
(304) 528-4600
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01062187
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036108719
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34612
WV
207RP1001X
Pulmonary Disease Physician
01062187A
IN
207RP1001X
Pulmonary Disease Physician
036108719
IL
207RP1001X
Pulmonary Disease Physician
Primary
34612
WV
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01062187
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036108719
IL
Other
Enumeration date
07/21/2006
Last updated
10/17/2025
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