Individual
DR. CHUANFANG JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 598-4800
(304) 293-6963
Mailing address
390 BIRCH ST, MORGANTOWN, WV 26506
(304) 285-7200
(304) 285-7321
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
20616
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005355000
—
WV
Enumeration date
03/08/2006
Last updated
04/15/2022
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