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Organization

PRINCETON SURGICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GENEROSO D DUREMDES M.D. (PRESIDENT)
(304) 425-2310
Entity
Organization

Contact information

Practice address
508 NEW HOPE RD STE 106, PRINCETON, WV 24740-2265
(304) 425-2310
(304) 487-3675
Mailing address
508 NEW HOPE RD STE 106, PRINCETON, WV 24740-2265
(304) 425-2310
(304) 487-3675

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16015
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009321000
WV
Enumeration date
11/14/2006
Last updated
08/04/2014
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