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NPI Code Detail

MEDICARE: DR. RICHARD CHARLES AVIOLI MD

MEDICARE: DR. RICHARD CHARLES AVIOLI MD
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
1207X00000XOrthopaedic Surgery Physician0000-35257NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124022173
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD CHARLES AVIOLI MD
Provider Business Mailing Address
First Line : 510 BUTLER AVE
Second Line :
City : MARTINSBURG
State : WV
Zip : 25405-9990
Country : US
Telephone Number : 304-263-0811
Fax Number : 304-262-1397
Provider Business Practice Location Address
First Line : 510 BUTLER AVE
Second Line :
City : MARTINSBURG
State : WV
Zip : 25405-9990
Country : US
Telephone Number : 304-263-0811
Fax Number : 304-262-1397
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 12/29/2014

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