Healthcare Provider Details

I. General information

NPI: 1326099425
Provider Name (Legal Business Name): GABRIELLA GIZELLA HORVATH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 07/08/2007
Certification Date:
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:
Mailing address:
  • Phone: 304-598-2442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number19463
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: