Basic Information
Provider Information
NPI: 1821099763
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PHILIPKOSKY
FirstName: MONICA
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8800 BARNES LAKE RD
Address2:  
City: NORTH HUNTINGDON
State: PA
PostalCode: 156423177
CountryCode: US
TelephoneNumber: 7248329190
FaxNumber: 7249780544
Practice Location
Address1: 8800 BARNES LAKE RD
Address2:  
City: NORTH HUNTINGDON
State: PA
PostalCode: 156423177
CountryCode: US
TelephoneNumber: 7248329190
FaxNumber: 7249780544
Other Information
ProviderEnumerationDate: 08/02/2005
LastUpdateDate: 08/03/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/03/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD047611LPAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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