Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35080242 | OH |
Y | 207VE0102X | Reproductive Endocrinologist | 26210 | WV |
N | 207VE0102X | Reproductive Endocrinologist | 35080242 | OH |
NPI | 1508822933 |
---|---|
Provider Name | Gary M Horowitz |
First Address | Morgantown, WV 26506-9186 |
Second Address | Morgantown, WV 26506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 10/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2289465 | (05) | OH |
3810028669 | (05) | WV |
F44604 | (02) |