Organization
RICHARD L DEL CHECCOLO MD INC
Active
Other names
31st street medical clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LAYNE DEL CHECCOLO M.D. (PHYSICIAN)
(304) 525-9100
Entity
Organization
Contact information
Practice address
410 31ST ST, HUNTINGTON, WV 25702-1420
(304) 525-9100
(304) 525-4402
Mailing address
410 31ST ST, HUNTINGTON, WV 25702-1420
(304) 525-9100
(304) 525-4402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001713811
MOUNTAIN STATE BCBS
WV
05
—
0050362000
—
WV
Enumeration date
09/29/2006
Last updated
03/12/2013
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