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Organization
WEDGEWOOD FAMILY PRACTICE & PSYCHIATRY ASSOCIATES, INC
Active
Organization
WEDGEWOOD FAMILY PRACTICE & PSYCHIATRY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILBUR Z SINE M.D. (PRESIDENT)
(304) 599-9400
Entity
Organization
Contact information
Practice address
1197 VAN VOORHIS RD, MORGANTOWN, WV 26505-3478
(304) 599-9400
(304) 599-8917
Mailing address
1197 VAN VOORHIS RD, MORGANTOWN, WV 26505-3478
(304) 599-9400
(304) 599-8917
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/24/2006
Last updated
02/14/2008
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