Charleston Pediatric Group Inc
Organization Active NPI Pediatrics Physician · Charleston, WV
NPI 1285793455 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1285793455
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- CHARLESTON PEDIATRIC GROUP INC
- Practice address
- 310 35TH Street SE
Suite 21
Charleston, WV 25304-1352 - Phone
- (304) 925-6970
- Fax
- (304) 925-5161
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Moutassem B Ayoubi, MD
- Title
- President
- Phone
- (304) 925-6970
Practitioners 2
-
Moutassem B. Ayoubi, M.D.
-
Vera L. Hoylman, M.D.
National Provider Directory
Locations
310 35th St SE
Ste 21
Charleston, WV 25304
Phone (304) 925-6970
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
310 35TH Street SE
Suite 21
Charleston, WV 25304-1352
Mailing address
310 35TH Street SE
Suite 21
Charleston, WV 25304-1352
Phone (304) 925-6970
Other names
- CPG Inc
Other providers in Charleston, WV
- Charleston Medical Supplies
- Charleston Neurology Assc Inc
- Charleston Orthopedic Appliances Inc
- Charleston Pain Management Consultants, Inc.
- Charleston Pathology Associates PLLC
- Charleston Physical Therapy Specialists Inc
- Charleston Psychiatric Group, Inc.
- Charleston Radiation Therapy Consultants PLLC
- Charleston Sleep Center PLLC
- Charleston SNF LLC
All providers in Charleston, WV · Pediatrics Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.