Organization
FRED MORGAN D O P C INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY R. PENTASUGLIA (CREDENTIALLING/BILLING SPECIALIST)
(304) 431-4700
Entity
Organization
Contact information
Practice address
311 COURTHOUSE ROAD, PRINCETON, WV 24740-2421
(304) 425-9563
(304) 487-4802
Mailing address
311 COURTHOUSE RD, PRINCETON, WV 24740-2421
(304) 425-9563
(304) 487-4802
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1596
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098560000
—
WV
Enumeration date
04/06/2007
Last updated
07/30/2025
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