| East River Primary Care, P.c. | |
|
100 New Hope Rd Suite 104 Princeton WV 24740-2143 | |
| (304) 425-8183 | |
| (304) 487-5612 |
| Full Name | East River Primary Care, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 New Hope Rd, Princeton, West Virginia |
| Authorized Official Name and Position | Charles John Mirabile (PRESIDENT) |
| Authorized Official Contact | 3044258183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East River Primary Care, P.c. Po Box 857 Princeton WV 24740-0857 Ph: (304) 425-8183 | East River Primary Care, P.c. 100 New Hope Rd Suite 104 Princeton WV 24740-2143 Ph: (304) 425-8183 |
| NPI Number | 1871528380 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871528380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12913 (West Virginia) | Primary |
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