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1538124680
VIJAYKUMAR R PHADE
BLUEFIELD, WV
NPI
1538124680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: WV 12519)
Additional Taxonomies
208600000X Surgery
(Licence: VA 0101037661)
Enumeration Date
2006-04-20
Last Update Date
2008-01-02
Business Address
-- VIJAYKUMAR R PHADE MD
496 CHERRY ST BLDG C STE A
BLUEFIELD, WV 24701-3304
Phone number: 304-327-7476
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Mailing Address
-- VIJAYKUMAR R PHADE MD
PO BOX 1553
BLUEFIELD, WV 24701
Phone number: 304-327-7476
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