Individual
RUBY NIEVES DELAMATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-1560
(304) 598-1699
Mailing address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-1560
(304) 598-1699
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
10994
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103081000
—
WV
Enumeration date
10/04/2006
Last updated
07/08/2007
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