Organization
THEODORE P WERBLIN MD PC
Active
Organization
THEODORE P WERBLIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA WERBLIN (OFFICE ADMINISTRATOR)
(304) 487-6123
Entity
Organization
Contact information
Practice address
1051 STAFFORD DR, PRINCETON, WV 24740-2409
(304) 487-6123
(304) 425-2631
Mailing address
1051 STAFFORD DR, PO BOX 5879, PRINCETON, WV 24740-2409
(304) 487-6123
(304) 425-2631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12870
WV
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096798000
—
WV
Enumeration date
09/06/2007
Last updated
07/22/2020
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