Individual
DR. BETHANY S PELLEGRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
1 STADIUM DRIVE, MORGANTOWN, WV 26506
(304) 598-4800
(304) 598-4781
Mailing address
P. O. BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
20902
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000134
—
WV
Enumeration date
08/18/2006
Last updated
04/15/2022
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