Individual
DR. CHARLES J HOCHBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 293-5631
(304) 293-2131
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7101
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22953
WV
207V00000X
Obstetrics & Gynecology Physician
MD19312
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084850
—
OR
01
—
1407812365
NBMC NPI NUMBER-GROUP
OR
01
—
160035583
RR MEDICARE PTAN NUMBER
OR
05
—
3810010461
—
WV
01
—
930635514
GROUP TAX ID
OR
01
—
CD8723
RR MEDICARE GROUP NUMBER
OR
01
—
R0000WFBTV
GROUP PIN NUMBER
OR
Enumeration date
12/06/2005
Last updated
06/15/2012
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