Organization
PRINCETON PEDIATRICS LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASMA SAFDER M.D. (PRESIDENT)
(304) 425-2355
Entity
Organization
Contact information
Practice address
216 NEW HOPE RD, PRINCETON, WV 24740-2135
(304) 425-2355
(304) 487-0092
Mailing address
216 NEW HOPE RD, PRINCETON, WV 24740-2135
(304) 425-2355
(304) 487-0092
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
11298
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111852001
—
WV
Enumeration date
09/25/2006
Last updated
08/22/2020
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