Organization
WOMAN AND CHILD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK KAZNOSKI MD (OWNER / PHYSICIAN)
(304) 263-9332
Entity
Organization
Contact information
Practice address
1004 TAVERN RD, MARTINSBURG, WV 25401-2864
(304) 263-9332
(304) 264-1531
Mailing address
1004 TAVERN RD, MARTINSBURG, WV 25401-2864
(304) 263-9332
(304) 264-1531
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
23323
WV
2080A0000X
Pediatric Adolescent Medicine Physician
2357
WV
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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