Organization
CHESAPEAKE PEDIATRICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YUSR ABOUSHAAR MD (OWNER)
(304) 925-4600
Entity
Organization
Contact information
Practice address
5314 MACCORKLE AVE SE, CHARLESTON, WV 25304
(304) 925-4600
(304) 925-4601
Mailing address
5314 MACCORKLE AVE SE, CHARLESTON, WV 25304
(304) 925-4600
(304) 925-4601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18109
WV
174400000X
Specialist
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
05/01/2023
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