Individual
DEBORAH LOUISE ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 PENNSYLVANIA AVE STE 202, CHARLESTON, WV 25302-3389
(304) 388-1770
(304) 388-1775
Mailing address
830 PENNSYLVANIA AVE STE 202, CHARLESTON, WV 25302-3389
(304) 388-1770
(304) 388-1775
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
27623
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064806000
—
FL
05
—
1891798799
—
NC
05
—
5916046
—
NC
05
—
Q02092
—
SC
Enumeration date
05/24/2005
Last updated
10/09/2017
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