Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN DALE MEDICINE & PEDIATRICS, PLLC
Active OrganizationGLEN DALE MEDICINE & PEDIATRICS, PLLC is a Pediatrics organization located in GLEN DALE, West Virginia. NPI 1710974159 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · GLEN DALE, WV
Registration Details
- NPI Number
- 1710974159
- Provider Type
- Organization
- NPI Issued
- Sep 30, 2005 (20.887441558379 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
-001 (WV)-001 (WV)
Practice Information
- Address
-
407 WHEELING AVEGLEN DALE, WV, 260381536Browse WV providers · Browse ZIP 26038
- Phone
- 3048451500
- Fax
- 3048451552
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
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.