Healthcare Provider Details

I. General information

NPI: 1184116956
Provider Name (Legal Business Name): BORBALA JULIA CZINEGE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2018
Last Update Date: 08/05/2021
Certification Date: 06/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3132 COLLINS FERRY RD
MORGANTOWN WV
26505-3305
US

IV. Provider business mailing address

3132 COLLINS FERRY RD
MORGANTOWN WV
26505-3305
US

V. Phone/Fax

Practice location:
  • Phone: 304-598-2442
  • Fax: 304-598-2199
Mailing address:
  • Phone: 304-598-2442
  • Fax: 304-598-2199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number30388
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: