| Advanced Diabetes & Endocrine Center | |
|
527 Medical Park Drive Suite 103 Bridgeport WV 26330-9009 | |
| (304) 933-3864 | |
| (304) 933-3867 |
| Full Name | Advanced Diabetes & Endocrine Center |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 527 Medical Park Drive, Bridgeport, West Virginia |
| Authorized Official Name and Position | Syed N Haq (OWNER) |
| Authorized Official Contact | 3049333864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Diabetes & Endocrine Center 527 Medical Park Drive Suite 103 Bridgeport WV 26330-9009 Ph: (304) 933-3864 | Advanced Diabetes & Endocrine Center 527 Medical Park Drive Suite 103 Bridgeport WV 26330-9009 Ph: (304) 933-3864 |
| NPI Number | 1659524635 |
|---|---|
| Provider Enumeration Date | 11/04/2008 |
| Last Update Date | 08/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659524635 | NPI | - | NPPES |
| 19842 | Other | WV | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 19842 (West Virginia) | Primary |
Medbrook Medical Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 Johnson Avenue, Bridgeport, WV 26330 Phone: 304-842-7186 Fax: 304-842-9005 | |
Mountainstate Infectious Disease, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 W Main St Ste B, Bridgeport, WV 26330 Phone: 301-641-1822 Fax: 304-250-9933 | |