Organization · NPI-2
Berkeley Family Medicine
Family Medicine · Martinsburg, WV
NPI number1609974229
StatusActive
Last updated in NPPESMar 10, 2015
Details
- NPI
- 1609974229
- Entity type
- Organization (NPI-2)
- Legal business name
- Berkeley Family Medicine
- Organization subpart
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Mar 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 011191 | WV | Yes |
Other names
- Berkeley Family Medicine Associates, INC. (Doing Business As)
Practice location
101 Marcley DrMartinsburg, WV 25401-2977
Phone 304-263-8911 · Fax 304-263-9450
Mailing address
101 Marcley DrMartinsburg, WV 25401-2977
Phone 304-263-8911 · Fax 304-263-9450
Authorized official
Angela L Barber
Billing Manager
3042638911
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