Individual
JORGE W ROIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
651 COLLIERS WAY STE 510, WEIRTON, WV 26062-5054
(304) 797-6595
(304) 797-6052
Mailing address
109 MOUNT WOOD RD, WHEELING, WV 26003-2632
(304) 233-2455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20028
WV
207L00000X
Anesthesiology Physician
35-079250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050079781
RR MEDICARE
WV
01
—
050080517
RR MEDICARE
OH
05
—
1804712000
—
WV
05
—
2249945
—
OH
Enumeration date
08/22/2006
Last updated
09/20/2022
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