Provider Demographics
NPI:1265545164
Name:CIAROLLA, DAVID A (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:CIAROLLA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:527 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 402
Mailing Address - City:BRIDGEPORT
Mailing Address - State:WV
Mailing Address - Zip Code:26330-9008
Mailing Address - Country:US
Mailing Address - Phone:681-342-3690
Mailing Address - Fax:681-342-3695
Practice Address - Street 1:527 MEDICAL PARK DR
Practice Address - Street 2:SUITE 402
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26330-9008
Practice Address - Country:US
Practice Address - Phone:681-342-3690
Practice Address - Fax:681-342-3695
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2022-04-05
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Provider Licenses
StateLicense IDTaxonomies
WV17859207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVF84759Medicare UPIN
WV0765242Medicare PIN