Provider Demographics
NPI:1558480889
Name:PETER FILOZOF, M.D. INC.
Entity Type:Organization
Organization Name:PETER FILOZOF, M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:FILOZOF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-485-2387
Mailing Address - Street 1:705 GARFIELD AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-5444
Mailing Address - Country:US
Mailing Address - Phone:304-485-2387
Mailing Address - Fax:304-485-8373
Practice Address - Street 1:705 GARFIELD AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5444
Practice Address - Country:US
Practice Address - Phone:304-485-2387
Practice Address - Fax:304-485-8373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0093808000Medicaid
WVPE9355951Medicare PIN
WVG32341Medicare UPIN