Organization
DEMETRIO J AGCAOILI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIO JOSE AGCAOILI M.D. (OWNER)
(740) 695-3703
Entity
Organization
Contact information
Practice address
51520 NATIONAL ROAD E, SUITE 5, SAINTCLAIRSVILLE, OH 43950-8213
(740) 296-5931
(740) 296-5942
Mailing address
51520 NATIONAL ROAD E, SUITE 5, SAINTCLAIRSVILLE, OH 43950-8213
(740) 296-5931
(740) 296-5942
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35083354
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841957000
—
WV
05
—
2413267
—
OH
Enumeration date
11/09/2006
Last updated
07/23/2020
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