New Covenant Pediatric Center, Pllc

NPI 1417071812 - Clinic/Center - 261QP2300X

NPI Details
NPI 1417071812
Enumeration Date 03/19/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TIMOTHY J TIMOTHY
Position OWNER
Phone (304) 645-8009
Fax (304) 645-8011
Practice Location
RR 2 BOX 375G
LEWISBURG WV, 24901-9346, US
Phone (304) 645-8009
Fax (304) 645-8011
Business Location
360 WASHINGTON STREET, WEST
LEWISBURG WV, 24901, US
Phone (304) 645-8009
Fax (304) 645-8011
Toxanomy
Taxonomy Code 261QP2300X
License State West Virginia
License Number 1878
Remove 1417071812 NPI Number
 

According to our database, New Covenant Pediatric Center, Pllc NPI is 1417071812, taxonomy code is 261QP2300X and license number is 1878, license state is located at West Virginia. New Covenant Pediatric Center, Pllc physically located at Rr 2 Box 375g, Lewisburg WV, 24901-9346. NPI Number 1033115704 has the healthcare provider type.

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1417071812 NPI number is provided on an as is basis without warranty of any kind. 1417071812 is maintained by the National Plan & Provider Enumeration System. The contents of New Covenant Pediatric Center, Pllc are for informational purposes only.