Individual
JOHN DAVID ANGOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 STERLING DR, SUITE 202, BRIDGEPORT, WV 26330-9132
(304) 622-0294
(304) 622-0295
Mailing address
PO BOX 763, MORGANTOWN, WV 26507-0763
(800) 541-4009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15717
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072131000
—
WV
01
—
760000169
RAILROAD MEDICARE
WV
01
—
CJ7607
RAILROAD MEDICARE
WV
Enumeration date
09/15/2006
Last updated
06/15/2016
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