Organization
PEDIATRIC & FAMILY PHYSICIANS OF MORGAN COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD PAUL QUARANTILLO III MD (PRESIDENT)
(304) 258-8805
Entity
Organization
Contact information
Practice address
81 WAR MEMORIAL DR, BERKELEY SPRINGS, WV 25411
(304) 258-8805
(304) 258-8846
Mailing address
81 WAR MEMORIAL DR, BERKELEY SPRINGS, WV 25411
(304) 258-8805
(304) 258-8846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17667
WV
208000000X
Pediatrics Physician
17621
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054791000
—
WV
05
—
0108919000
—
WV
Enumeration date
09/07/2006
Last updated
09/11/2025
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