Organization
LOGAN GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASSAM HAFFAR MD (OWNER)
(304) 792-1122
Entity
Organization
Contact information
Practice address
6 WOODCREST LN, CHARLESTON, WV 25314-2472
(304) 792-1122
Mailing address
77 HOSPITAL DR, LOGAN, WV 25601-3451
(304) 792-1122
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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