Organization
CHARLES F BOU-ABBOUD MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES F BOU-ABBOUD M.D. (PHYSICIAN)
(304) 252-4900
Entity
Organization
Contact information
Practice address
58 BROOKSHIRE LN, BECKLEY, WV 25801-6765
(304) 252-4900
(304) 252-8470
Mailing address
58 BROOKSHIRE LN, BECKLEY, WV 25801-6765
(304) 252-4900
(304) 252-8470
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16314
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001170000
—
WV
Enumeration date
03/12/2013
Last updated
03/12/2013
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