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1689718645
MATTHEW J MACCALLUM
CHARLESTON, WV
NPI
1689718645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WV 1940)
Enumeration Date
2007-02-16
Last Update Date
2009-02-17
Business Address
-- MATTHEW J MACCALLUM D. O.
333 LAIDLEY ST
CHARLESTON, WV 25301-1614
Phone number: 304-344-0096
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Mailing Address
-- MATTHEW J MACCALLUM D. O.
110 ROANE ST
CHARLESTON, WV 25302-2334
Phone number: 304-344-0096
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