Provider Demographics
NPI:1093806069
Name:PIZARRO, CESAR DEL ROSARIO (MD)
Entity Type:Individual
Prefix:MR
First Name:CESAR
Middle Name:DEL ROSARIO
Last Name:PIZARRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 EOFF ST
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3823
Mailing Address - Country:US
Mailing Address - Phone:304-234-8663
Mailing Address - Fax:304-234-8960
Practice Address - Street 1:2115 CHAPLINE STREET
Practice Address - Street 2:STE 201
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003
Practice Address - Country:US
Practice Address - Phone:304-234-1610
Practice Address - Fax:304-234-1739
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV11437207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0829214Medicaid
WV0091938001Medicaid
C78934Medicare UPIN
WVPI0698842Medicare PIN
OH0829214Medicaid