Organization
EAST RIVER PRIMARY CARE, P.C.
Active
Organization
EAST RIVER PRIMARY CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES JOHN MIRABILE M.D. (PRESIDENT)
(304) 425-8183
Entity
Organization
Contact information
Practice address
100 NEW HOPE RD, SUITE 104, PRINCETON, WV 24740-2143
(304) 425-8183
(304) 487-5612
Mailing address
PO BOX 857, PRINCETON, WV 24740-0857
(304) 425-8183
(304) 487-5612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12913
WV
Other
Enumeration date
07/12/2006
Last updated
06/24/2008
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