Individual
SERAFINO S MADUCDOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 JONES AVENUE, OAK HILL, WV 25901
(304) 469-2500
(304) 469-3399
Mailing address
330 FRANKLIN ROAD, #135A-138, BRENTWOOD, TN 37027
(615) 309-3300
(615) 309-3339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11029
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000474237
MOUNTAIN BCBS
WV
05
—
010357861
—
VA
05
—
0127602000
—
WV
05
—
0239610
—
OH
01
—
450931
CARELINK
WV
Enumeration date
07/14/2006
Last updated
07/21/2008
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