Individual
DR. ANTHONY REALINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 STADIUM DRIVE, MORGANTOWN, WV 26506
(304) 598-4820
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21262
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3004254000
—
WV
01
—
C31473
RAILROAD MEDICARE GROUP #
WV
01
—
P00087531
RAILROAD MEDICARE
WV
Enumeration date
03/08/2006
Last updated
04/12/2022
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