Individual
DR. VICTORINO RODRIGUEZ TELERON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
116 W 3RD AVE, WILLIAMSON, WV 25661-3108
(304) 236-5911
(304) 236-5942
Mailing address
250 WHISPERING WOODS RD, CHARLESTON, WV 25304-2760
(304) 925-6767
(304) 925-6767
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12967
WV
207RA0401X
Addiction Medicine (Internal Medicine) Physician
12967
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64080062
—
KY
Enumeration date
06/13/2006
Last updated
06/23/2014
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