Doctor Name: | DR. EMMANUEL MUNOZ-POSADA |
NPI Number: | 1306963434 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 12617 |
Business Practice Address: | 918 Chestnut Ridge Rd Ste 9 Morgantown, WV - 265052822 |
Business Phone Number: | 3045982632 |
Business Fax Number: | 3045991952 |
Mailing Address: | 918 Chestnut Ridge Rd, Ste 9 MORGANTOWN |
State: | WV |
Postal Code: | 265052822 |
Phone Number: | 3045982632 |
Fax Number: | 3045991952 |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12617 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |