Organization
GLORIOSO GENERAL PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH JUDE GLORIOSO D.O. (OWNER)
(740) 699-2730
Entity
Organization
Contact information
Practice address
103 PLAZA DR STE G, SAINT CLAIRSVILLE, OH 43950-7729
(740) 699-2730
(740) 699-0271
Mailing address
PO BOX 6480, WHEELING, WV 26003-0811
(740) 282-2576
(740) 282-2239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34006863
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
05
—
PENDING
—
WV
Enumeration date
10/22/2008
Last updated
02/16/2024
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