| Cherry B. Lobaton Md, Inc | |
|
1004 Sushruta Dr Ste D Martinsburg WV 25401-8898 | |
| (304) 262-2538 | |
| (304) 262-2583 |
| Full Name | Cherry B. Lobaton Md, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1004 Sushruta Dr Ste D, Martinsburg, West Virginia |
| Authorized Official Name and Position | Cherry B. Lobaton (OWNER) |
| Authorized Official Contact | 3042622538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry B. Lobaton Md, Inc 1004 Sushruta Dr Ste D Martinsburg WV 25401-8898 Ph: (304) 262-2538 | Cherry B. Lobaton Md, Inc 1004 Sushruta Dr Ste D Martinsburg WV 25401-8898 Ph: (304) 262-2538 |
| NPI Number | 1649365487 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 01/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649365487 | NPI | - | NPPES |
| 3810005921 | Medicaid | WV | |
| 5630394000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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