| Doctor Name: | TERESITA P DEJOSEF |
| NPI Number: | 1164410247 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 12410 |
| Business Practice Address: | 111 Lafayette St Suite 201 Saint Marys, WV - 261701059 |
| Business Phone Number: | 3046849409 |
| Business Fax Number: | 3046842440 |
| Mailing Address: | 111 Lafayette St, Suite 201 SAINT MARYS |
| State: | WV |
| Postal Code: | 261701059 |
| Phone Number: | 3046849409 |
| Fax Number: | 3046842440 |
| NPI Enumeration Date: | 10/12/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12410 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |