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1154439289
ANTONIO ACOSTA-B. MATABAN
CLARKSBURG, WV
NPI
1154439289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: WV 20628)
Enumeration Date
2006-08-28
Last Update Date
2007-07-08
Business Address
Dr. ANTONIO ACOSTA-B. MATABAN MD
1MEDICAL CENTER DRIVE
CLARKSBURG, WV 26301
Phone number: 304-842-0422
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Mailing Address
Dr. ANTONIO ACOSTA-B. MATABAN MD
1MEDICAL CENTER DRIVE
CLARKSBURG, WV 26331
Phone number: 304-842-0422
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