Individual
VIJAYALEELA G VICTOR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
510 BUTLER AVE, VA MEDICAL CENTER, MARTINSBURG, WV 25401-9990
(304) 263-0811
(304) 262-4898
Mailing address
350 ASHTON DR, FALLING WATERS, WV 25419-4813
(304) 274-2345
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
177646
NY
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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