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Organization

KRZYSZTOF J KUBICKI, MD

Active
Other names
Christopher J. Kubicki, MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRZYSZTOF J KUBICKI MD (OWNER)
(304) 387-2761
Entity
Organization

Contact information

Practice address
111 FIRST AVE, CHESTER, WV 26034
(304) 387-2761
Mailing address
PO BOX 2407, WEIRTON, WV 26062-1607
(304) 387-2761

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17474
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810006572
WV
Enumeration date
07/09/2006
Last updated
12/21/2010
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