Edward L Petsonk in Morgantown - Pulmonary Disease

Edward L Petsonk - NPI 1467566000

Edward L Petsonk is a Pulmonary Disease in Morgantown, . Edward L Petsonk practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Edward L Petsonk is 1467566000. The last update date is 2007-07-08.

Edward L Petsonk's current location address is 1 Stadium Drive, Morgantown, . You can contact this provider via phone number 3045984800 and fax number 3042936963. The mailing address for Edward L Petsonk is 1 Stadium Drive, Morgantown, . To know further, please read the information below!

Provider Profile Detail

Provider Name Edward L Petsonk
Address 1 Stadium Drive, Morgantown,
Phone Number 3045984800
Fax Number 3042936963
Sole Proprietor N
Credentials M. D.

NPI Number Detail

NPI Number 1467566000
Provider Enumeration Date 2006-08-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1 Stadium Drive
City Morgantown
State (WV)
Post Code 26506
Phone Number 3045984800
Fax Number 3042936963

Provider's Primary Taxonomy Detail

Speciality Pulmonary Disease
Taxonomy 207Rp1001X
Licence No 12171
Definition:
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
83457000 WV --

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FAQs about Edward L Petsonk

What is the unique identification code assigned to Edward L Petsonk by the Centers for Medicare & Medicaid Services?

The Edward L Petsonk has been issued the NPI (National Provider Identifier) 1467566000. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Edward L Petsonk is physically located?

The Edward L Petsonk is situated at the following address: 1 Stadium Drive, Morgantown, WV 26506.

What is Edward L Petsonk's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Edward L Petsonk is Pulmonary Disease, and the taxonomy code that classifies this field of practice is 207Rp1001X.

On what date did Edward L Petsonk receive its 1467566000 assignment from the Centers for Medicare & Medicaid Services?

The Edward L Petsonk was assigned its 1467566000 on 2006-08-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Edward L Petsonk, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Edward L Petsonk, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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