Provider Demographics
NPI:1376537191
Name:COMERCI, JAMES LOUIS (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LOUIS
Last Name:COMERCI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3019
Mailing Address - Street 2:7 E COVE AVE STE A
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-0319
Mailing Address - Country:US
Mailing Address - Phone:304-242-5056
Mailing Address - Fax:304-242-3647
Practice Address - Street 1:7 E COVE AVE
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-5024
Practice Address - Country:US
Practice Address - Phone:304-242-5056
Practice Address - Fax:304-242-3647
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-08
Last Update Date:2022-09-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV12663207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV12663COtherHEALTH PLAN
OH12663COtherHEALTH PLAN
OH0525104Medicaid
WV0056680000Medicaid
9338141Medicare ID - Type Unspecified
OH12663COtherHEALTH PLAN