Organization
PULMONARY ASSOCIATES OF CHAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MUSILLI (CFO)
(304) 400-4545
Entity
Organization
Contact information
Practice address
4619 KANAWHA AVE., SW, SOUTH CHARLESTON, WV 25309
(304) 400-4545
(304) 400-4546
Mailing address
4619 KANAWHA AVE., SW, SOUTH CHARLESTON, WV 25309
(304) 400-4545
(304) 400-4546
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
1828
WV
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
08/29/2013
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