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Contact Information

FREDERICK M ALCANTARA, MD
2048 VIP WAY
FAIRMONT, WV26554
 Phone: 304-366-6200
 Fax: 304-366-4927
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for FREDERICK M ALCANTARA · (Male)

NPI Number 1942493812
Status Active
Credentials MD
Entity Individual
Enumeration date 08/23/2007
Last updated 04/06/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD432566
  • WV License # 23746
  • PA Medicaid 1020032650001
  • PA Other AL1983636 BLUE SHIELD
  • PA Other P00434792 MEDICARE TRAVELERS
Hospital affiliation(s)
  • UNITED HOSPITAL CENTER - (Acute Care)
    327 MEDICAL PARK DRIVE
    BRIDGEPORT, WV 26330
  • WEST VIRGINIA UNIVERSITY HOSPITALS - (Acute Care)
    MEDICAL CENTER DRIVE
    MORGANTOWN, WV 26506
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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