Organization
THE ENDOCRINOLOGY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIORICA MARIA CRISAN MD (OWNER)
(304) 723-6570
Entity
Organization
Contact information
Practice address
651 COLLIERS WAY, SUITE 406, WEIRTON, WV 26062-5053
(304) 723-5670
Mailing address
1115 SAINT MELLION DR, PRESTO, PA 15142-1009
(304) 723-5670
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
20464
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2283916
—
OH
05
—
3810007340
—
WV
Enumeration date
09/22/2006
Last updated
11/13/2007
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