Organization
MEDICAL ASSOCIATES OF GLEN DANIEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. JORGE GORDINHO MD (OWNER/MD)
(304) 934-5125
Entity
Organization
Contact information
Practice address
109 BOLT RD, GLEN DANIEL, WV 25844-0216
(304) 934-5125
(304) 934-6967
Mailing address
PO BOX 216, GLEN DANIEL, WV 25844-0216
(304) 934-5125
(304) 934-6967
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
026920
WV
261Q00000X
Clinic/Center
Primary
026920
WV
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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