| City Pediatrics | |
|
1804 W King St Suite 200 Martinsburg WV 25401-2004 | |
| (304) 262-4525 | |
| (304) 262-4025 |
| Full Name | City Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 1804 W King St, Martinsburg, West Virginia |
| Authorized Official Name and Position | Justina E Eke (MD/PEDIATRICIAN) |
| Authorized Official Contact | 3047076204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City Pediatrics 1804 W King St Suite 200 Martinsburg WV 25401-2004 Ph: (304) 262-4525 | City Pediatrics 1804 W King St Suite 200 Martinsburg WV 25401-2004 Ph: (304) 262-4525 |
| NPI Number | 1588961577 |
|---|---|
| Provider Enumeration Date | 02/28/2011 |
| Last Update Date | 09/27/2011 |
| Medicare PECOS PAC ID | 8820461262 |
|---|---|
| Medicare Enrollment ID | O20230306000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588961577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 23370 (West Virginia) | Primary |
| Provider Name | Justina Egbichi Eke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497904973 PECOS PAC ID: 9739552175 Enrollment ID: I20230306000739 |
West Virginia University Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Doctor Oates Dr Ste 103, Martinsburg, WV 25401 Phone: 304-596-5142 Fax: 304-596-5143 | |
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