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NPI Code Detail

MEDICARE: DR. JAMES P. VIGLIANCO M.D.

MEDICARE: DR. JAMES P. VIGLIANCO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician246712NY
2208600000XSurgery Physician246712NY
3208600000XSurgery Physician35060450VOH
4208600000XSurgery Physician26992WV

General Provider Information

NPI Number : 1083709562
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES P. VIGLIANCO M.D.
Provider Business Mailing Address
First Line : 100 PIN OAK LN
Second Line :
City : KEYSER
State : WV
Zip : 26726-5908
Country : US
Telephone Number : 304-597-3797
Fax Number :
Provider Business Practice Location Address
First Line : 100 PIN OAK LN
Second Line :
City : KEYSER
State : WV
Zip : 26726-5908
Country : US
Telephone Number : 304-597-3797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 04/07/2022

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