Genesis Eldercare Physician Services I Llc | |
161 Bakers Ridge Rd Morgantown WV 26508-1459 | |
(304) 285-0692 | |
Not Available |
Full Name | Genesis Eldercare Physician Services I Llc |
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Speciality | Internal Medicine |
Location | 161 Bakers Ridge Rd, Morgantown, West Virginia |
Authorized Official Name and Position | Catherine Tregoe (DIRECTOR OF BUSINESS OPERATIONS) |
Authorized Official Contact | 4105438870 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Genesis Eldercare Physician Services I Llc 801 N Salisbury Blvd Suite 201 Salisbury MD 21801-3624 Ph: (410) 543-1957 | Genesis Eldercare Physician Services I Llc 161 Bakers Ridge Rd Morgantown WV 26508-1459 Ph: (304) 285-0692 |
NPI Number | 1649415134 |
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Provider Enumeration Date | 12/11/2008 |
Last Update Date | 12/12/2008 |
Identifier | Type | State | Issuer |
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1649415134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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