Genesis Elder Care Physician Services LLC
NPI #1285653451 in Morgantown, West Virginia
Provider Information
- NPI Number
- 1285653451
- Entity Type
- Organization
- Organization Name
- Genesis Elder Care Physician Services LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Apr 13, 2018
Practice Location
- Address
- 161 BAKERS RIDGE RD
- City
- Morgantown
- State
- West Virginia
- ZIP Code
- 26508-1459
- Phone
- (304) 285-0692
Authorized Official
- Name
- ERIC SHAPIRO
- Title
- VP, CONTROLLER
- Phone
- (410) 832-7790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
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