Doctor Name: | ROMEO R EDNACOT |
NPI Number: | 1003810631 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 10073 |
Business Practice Address: | 207 Maplewood Ave Ronceverte, WV - 249701335 |
Business Phone Number: | 3046457007 |
Business Fax Number: | 3046457008 |
Mailing Address: | Po Box 3705, CHARLESTON |
State: | WV |
Postal Code: | 253373705 |
Phone Number: | 3045365030 |
Fax Number: | 3045365031 |
NPI Enumeration Date: | 06/10/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 10073 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |