Individual
ANTHONY DAVID MARCUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6000 MEMORIAL CHURCH DRIVE, MORGANTOWN, WV 26501
(304) 292-7316
(304) 599-8917
Mailing address
1300 FT PIERPONT DR STE 101, MORGANTOWN, WV 26508-1314
(304) 241-7150
(304) 599-8917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18375
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016510800004
—
PA
05
—
0054995000
—
WV
05
—
727900100
—
MD
Enumeration date
07/13/2006
Last updated
07/21/2021
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