Organization
CHARLESTON PATHOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W SOBIESKI MD (MD MEMBER)
(304) 347-6694
Entity
Organization
Contact information
Practice address
333 LAIDLEY ST, CHARLESTON, WV 25301-1614
(304) 347-6694
Mailing address
PO BOX 611, CHARLESTON, WV 25322-0611
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204612000
—
WV
01
—
CH9446
RAILROAD MEDICARE
—
Enumeration date
07/14/2005
Last updated
08/10/2007
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