# PRINCETON PEDIATRICS LAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528169695
- **Authorized official:** ASMA SAFDER M.D. (PRESIDENT)
- **Authorized official phone:** (304) 425-2355

## Contact information

- **Practice address:** 216 NEW HOPE RD, PRINCETON, WV 24740-2135
- **Practice address phone:** (304) 425-2355
- **Practice address fax:** (304) 487-0092
- **Mailing address:** 216 NEW HOPE RD, PRINCETON, WV 24740-2135
- **Mailing address phone:** (304) 425-2355
- **Mailing address fax:** (304) 487-0092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 11298 | WV | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020