Organization
GASTROENTEROLOGY ASSOCIATES OF THE SHENANDOAH VALLEY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L FISHKIN MD (PRESIDENT)
(304) 263-8200
Entity
Organization
Contact information
Practice address
2010 DOCTOR OATES DR, SUITE 103, MARTINSBURG, WV 25401-8896
(304) 263-8200
(304) 263-9242
Mailing address
2010 DOCTOR OATES DR, SUITE 103, MARTINSBURG, WV 25401-8896
(304) 263-8200
(304) 263-9242
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17136
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639297781
NPI
—
01
—
17136
MD LINCENSE
WV
05
—
6050031
—
WV
01
—
D 45418
MD LINCENSE
MD
Enumeration date
03/29/2007
Last updated
10/16/2007
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