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Organization
BERKELEY FAMILY MEDICINE
Active
Organization
BERKELEY FAMILY MEDICINE
Active
Other names
Berkeley Family Medicine Associates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA L BARBER (BILLING MANAGER)
(304) 263-8911
Entity
Organization
Contact information
Practice address
101 MARCLEY DR, MARTINSBURG, WV 25401-2977
(304) 263-8911
(304) 263-9450
Mailing address
101 MARCLEY DR, MARTINSBURG, WV 25401-2977
(304) 263-8911
(304) 263-9450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011191
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011451000
—
WV
01
—
6784310001
DMEPOS PTAN
WV
01
—
C10269
RAILROAD MEDICARE
WV
Enumeration date
09/20/2006
Last updated
03/10/2015
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