NPI 1154439289

Antonio Acosta-B. Mataban, MD

Practitioner Urology Physician Clarksburg, WV

Practice location

Address: 1medical Center Drive, Clarksburg, WV 26301
Phone: (304) 842-0422
Mailing address: 1medical Center Drive, Clarksburg, WV 26331

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 20628 (WV)

Other Urology providers in West Virginia →

Registry record

NPI: 1154439289
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.