Individual
PATRICK J BACAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 STADIUM DR, MORGANTOWN, WV 26506-7911
(304) 598-4000
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19201
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104247000
—
WV
01
—
607LQ331
MEDICARE PROVIDER NUMBER
MD
01
—
CA7346
RAILROAD MEDICARE GROUP
WV
01
—
P00647693
RAILROAD MEDICARE
WV
Enumeration date
10/05/2006
Last updated
04/12/2022
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