Organization
ASSOCIATED SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADNAN ALGHADBAN M.D. (CEO)
(304) 933-3800
Entity
Organization
Contact information
Practice address
527 MEDICAL PARK DRIVE, SUITE 204, BRIDGEPORT, WV 26330-9009
(304) 933-3800
(304) 933-3815
Mailing address
527 MEDICAL PARK DR STE 204, BRIDGEPORT, WV 26330-9009
(304) 933-3800
(304) 933-3815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0622681
—
NJ
Enumeration date
08/24/2006
Last updated
03/31/2022
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