Provider Demographics
NPI:1285614289
Name:GUARNIERI, DULIO W (MD)
Entity type:Individual
Prefix:MR
First Name:DULIO
Middle Name:W
Last Name:GUARNIERI
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 1:153 SPRINGHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-2358
Mailing Address - Country:US
Mailing Address - Phone:304-431-3010
Mailing Address - Fax:304-431-3011
Practice Address - Street 1:153 SPRINGHAVEN DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-2358
Practice Address - Country:US
Practice Address - Phone:304-431-3010
Practice Address - Fax:304-431-3011
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV21608208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation