Romeo R Ednacot
MD | Pediatric Adolescent Medicine | Male
Romeo R Ednacot, MD is a Ronceverte, West Virginia based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Romeo R Ednacot is
207 Maplewood Ave, Ronceverte, West Virginia - 24970-1335. He can be contacted on phone at
304-645-7007 and fax number 304-645-7008.
Romeo R Ednacot is a sole proprietor of his business.
NPI number (Unique professional ID) for Romeo R Ednacot is
1003810631 which was assigned by NPPES on 10 Jun, 2005 and it was last updated on 09 Jul, 2007.
Romeo R Ednacot license number is
10073 for Pediatrics Adolescent Medicine (2080A0000X) in West Virginia.
Romeo R Ednacot specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Romeo R Ednacot basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Adolescent Medicine |
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Provider Name : | Romeo R Ednacot |
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Credential : | MD |
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Gender : | Male |
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Business Address:
Romeo R Ednacot address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 207 Maplewood Ave Ronceverte, WV, 24970-1335 United States |
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Phone Number : | 304-645-7007 |
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Fax Number : | 304-645-7008 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1003810631 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 10 Jun, 2005 |
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Last Updated On : | 09 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Romeo R Ednacot are as mentioned. Primary taxonomy code for Romeo R Ednacot, MD is
2080A0000X (Pediatrics Adolescent Medicine).
Taxonomy Code | Speciality | Primary | License No. | State |
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2080A0000X | Pediatrics Adolescent Medicine | Yes | 10073 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Romeo R Ednacot such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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0112064000 | MEDICAID | WV | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | Po Box 3705 Charleston, WV, 25337-3705 United States |
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Phone Number : | 304-536-5030 |
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Fax Number : | 304-536-5031 |
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Business Location:
Patients can refer following map for directions to
Romeo R Ednacot practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.