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Organization

UNITED PHYSICIANS CARE INC

Active
Other names
Oakland Family Medicine Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL J CARUSO (EXECUTIVE DIRECTOR)
(304) 624-4655
Entity
Organization

Contact information

Practice address
1533 MEMORIAL DR, OAKLAND, MD 21550-4338
(301) 334-3400
(301) 334-5977
Mailing address
686 S PIKE ST, STE A, SHINNSTON, WV 26431-1043
(304) 624-4655
(304) 624-3918

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4000128000
WV
Enumeration date
12/01/2006
Last updated
12/04/2007
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