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Individual

DR. JOSEPH CARINO CLAUSTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 CLINIC DR, RICHLANDS, VA 24641-1102
(276) 964-6771
(276) 964-1314
Mailing address
PO BOX CVPA, RICHLANDS, VA 24641-1102
(276) 964-6771
(276) 964-1314

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101035281
VA
2086S0129X
Vascular Surgery Physician
0101035281
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0128505-000
WV
01
098098
ANTHEM BCBS
05
64007271
KY
05
7332360
VA
Enumeration date
11/07/2005
Last updated
02/13/2015
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