Healthcare Provider Details

I. General information

NPI: 1376537191
Provider Name (Legal Business Name): JAMES LOUIS COMERCI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 E COVE AVE
WHEELING WV
26003-5024
US

IV. Provider business mailing address

PO BOX 3019 7 E COVE AVE STE A
WHEELING WV
26003-0319
US

V. Phone/Fax

Practice location:
  • Phone: 304-242-5056
  • Fax: 304-242-3647
Mailing address:
  • Phone: 304-242-5056
  • Fax: 304-242-3647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number12663
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: