Organization Name: | GASPAR Z BARCINAS MD INC |
NPI Number: | 1598079287 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GASPAR ZAMORAS BARCINAS (OWNER) |
Mailing Address: | 103 Doctors Drive Bridgeport |
State: | WV US |
Postal Code: | 263301720 |
Phone Number: | 3048425161 |
Fax Number: | 3048422280 |
NPI Enumeration Date: | 08/05/2010 |
NPI Last Update Date: | 08/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |