MEDICARE: BORBALA JULIA CZINEGE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	30388	WV

General Provider Information

NPI Number	:	1184116956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BORBALA JULIA CZINEGE MD

Provider Business Mailing Address
First Line	:	3132 COLLINS FERRY RD
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-3305
Country	:	US
Telephone Number	:	304-598-2442
Fax Number	:	304-598-2199

Provider Business Practice Location Address
First Line	:	3132 COLLINS FERRY RD
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-3305
Country	:	US
Telephone Number	:	304-598-2442
Fax Number	:	304-598-2199

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2018
Last Update Date	:	08/05/2021

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