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Contact Information

ANDRES J JADUE TOBAR, MD
280 SILVER MAPLE RDG
CHARLESTON, WV25306-1122
 Phone: 216-466-4250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ANDRES J JADUE TOBAR · (Male)

NPI Number 1265911234
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2018
Last updated 02/11/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 57.246254
Hospital affiliation(s)
  • CHARLESTON AREA MEDICAL CENTER - (Acute Care)
    501 MORRIS STREET
    CHARLESTON, WV 25301
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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