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Contact Information

JOSE CRUZZAVALA, MD
600 18TH STREET
SUITE 201
PARKERSBURG, WV26101
 Phone: 304-424-4760
 Fax: 304-424-4761
 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 JOSE CRUZZAVALA · (Male)

NPI # 1629162342
Status Active
Credentials MD
Entity Individual
Enumeration date 10/03/2006
Last updated 10/13/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 15479
  • WV Medicaid 0129506000
  • WV Other 020045089 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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