Doctor Name: | ANGELIQUE FERRER VITUG |
NPI Number: | 1124119771 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 1 Hospital Plz Clarksburg, WV - 263019215 |
Business Phone Number: | 3046242224 |
Business Fax Number: | 3046242787 |
Mailing Address: | Po Box 2308, CLARKSBURG |
State: | WV |
Postal Code: | 263022308 |
Phone Number: | 3046242224 |
Fax Number: | 3046242787 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 06/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |