Healthcare Provider Details

I. General information

NPI: 1447458906
Provider Name (Legal Business Name): CESAR PIZARRO, MD,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 CHAPLINE ST SUITE 201
WHEELING WV
26003-3859
US

IV. Provider business mailing address

2115 CHAPLINE ST SUITE 201
WHEELING WV
26003-3859
US

V. Phone/Fax

Practice location:
  • Phone: 304-234-1610
  • Fax: 304-234-1739
Mailing address:
  • Phone: 304-234-1610
  • Fax: 304-234-1739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMCP01439
License Number StateWV

VIII. Authorized Official

Name: DR. CESAR PIZARRO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 304-234-1610