Provider Demographics
NPI:1821099763
Name:PHILIPKOSKY, MONICA A (MD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:A
Last Name:PHILIPKOSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 BARNES LAKE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-3177
Mailing Address - Country:US
Mailing Address - Phone:724-832-9190
Mailing Address - Fax:724-978-0544
Practice Address - Street 1:8800 BARNES LAKE RD
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-3177
Practice Address - Country:US
Practice Address - Phone:724-832-9190
Practice Address - Fax:724-978-0544
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD047611L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001305090Medicaid
PA001305090Medicaid
PA144026Medicare PIN