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General NPI Number Information
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NPI Number | 1386743391
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Entity Type | Organization
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Legal Business Name | ROMULO J ESTIGOY MD INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 121 N COLLEGE ST
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City | MARTINSBURG
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State | WV
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Zip | 25401-3303
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Country | US
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Telephone | 304-267-6726
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Fax | 304-264-8132
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Provider Business Mailing Address
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Address Line | 121 N COLLEGE ST
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City | MARTINSBURG
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State | WV
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Zip | 25401-3303
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Country | US
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Telephone | 304-267-6726
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Fax | 304-264-8132
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROMULO J ESTIGOY
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Credential | MEDICAL DOCTOR
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Telephone | 304-267-6726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 11918
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License Number State | WV
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