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NPI Code Detail

MEDICARE: DR. CINDY CONSTANTINO DUGAN MD

MEDICARE: DR. CINDY CONSTANTINO DUGAN 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
12084P0800XPsychiatry Physician20322WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120322OTHERWVMEDICAL LICENSE

General Provider Information

NPI Number : 1861525149
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CINDY CONSTANTINO DUGAN MD
Provider Business Mailing Address
First Line : 1124 WINDSOR DR.
Second Line :
City : MINERAL WELLS
State : WV
Zip : 26150
Country : US
Telephone Number : 304-489-3067
Fax Number :
Provider Business Practice Location Address
First Line : 184 HOLIDAY HILLS DR
Second Line :
City : PARKERSBURG
State : WV
Zip : 26104-8006
Country : US
Telephone Number : 304-485-1721
Fax Number : 304-485-6710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 03/07/2023

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