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Contact Information

GERARDO R PRINCESA, MD
200 HOSPITAL DR
SPENCER, WV25276-1050
 Phone: 304-927-6844
 Fax: 304-927-6259
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for GERARDO R PRINCESA · (Male)

NPI # 1609824895
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2006
Last updated 09/20/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A101856
  • WV License # 21390
  • WV Medicaid 3004963000
Hospital affiliation(s)
  • ADVENTIST MEDICAL CENTER - (Acute Care)
    115 MALL DRIVE
    HANFORD, CA 93230
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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