Pediatric Associate
Pediatric Associate is a Legal Medicine in Bridgeport, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.
- Licensed in
- WV
- In the registry since
- 2006
Practice location Address checks out
11 Chenoweth Dr Ste ABridgeport, WV 26330-1675
Phone: (304) 842-5777
Fax: (304) 842-3318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Legal Medicine (primary) | Taxonomy 173000000X · Licence WV11941 (WV) |
|---|
Record details
| NPI number | 1104937416 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Momen — Owner · (304) 842-5777 |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 11 Chenoweth Dr, Suite A, Bridgeport, WV 26330-1675 |