Individual
VLAD CODREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
MARY BABB RANDOLPH CANCER CENTER, 1 MEDICAL CENTER DR., MORGANTOWN, WV 26506
(304) 293-8877
Mailing address
PO BOX 9152, HEALTH SCIENCES CENTER, ROOM G128, MORGANTOWN, WV 26506
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
29743
WV
207ND0101X
MOHS-Micrographic Surgery Physician
S0270
TX
Other
Enumeration date
04/04/2015
Last updated
04/15/2022
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