Provider Demographics
NPI:1265467112
Name:LOBATON, CHERRY BELLOSILLO (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERRY
Middle Name:BELLOSILLO
Last Name:LOBATON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:220 CAMPUS BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2888
Mailing Address - Country:US
Mailing Address - Phone:540-536-5100
Mailing Address - Fax:540-536-0235
Practice Address - Street 1:1004 SUSHRUTA DR
Practice Address - Street 2:STE D
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-8898
Practice Address - Country:US
Practice Address - Phone:304-262-2538
Practice Address - Fax:304-262-2583
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2021-02-28
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Provider Licenses
StateLicense IDTaxonomies
WV19515207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVG81000Medicare UPIN