Doctor Name: | SUSANNE CHOBY |
NPI Number: | 1033310719 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 21788 |
Business Practice Address: | 600 Suncrest Town Centre Dr Suite 115 Morgantown, WV - 265051872 |
Business Phone Number: | 3045980080 |
Business Fax Number: | |
Mailing Address: | Po Box 4650, MORGANTOWN |
State: | WV |
Postal Code: | 265044650 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/30/2007 |
NPI Last Update Date: | 04/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 21788 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |