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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PEDIATRIC ASSOCIATE

Active Organization

PEDIATRIC ASSOCIATE is a Legal Medicine organization located in BRIDGEPORT, West Virginia. NPI 1104937416 is currently active in the NPPES registry. Verify at CMS.

Legal Medicine · BRIDGEPORT, WV

Registration Details

NPI Number
1104937416
Provider Type
Organization
NPI Issued
Aug 31, 2006 (19.98098674978 yrs)
Last Updated
Aug 22, 2020
License
WV11941 (WV)

Practice Information

Address
11 CHENOWETH DR
SUITE A
BRIDGEPORT, WV, 263301675
Browse WV providers · Browse ZIP 26330
Phone
3048425777
Fax
3048423318
Primary Specialty
Legal Medicine
173000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.