Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 22524 | WV |
NPI | 1194894477 |
---|---|
Provider Name | Dr. Talia B Sotomayor |
First Address | Morgantown, WV 26505-1828 |
Second Address | Morgantown, WV 26505-1828 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 25/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3810006966 | (05) | WV |
3910006278 | (05) | WV |