Individual
GINA MICHELLE PUZZUOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
511 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 341-0511
(304) 341-0197
Mailing address
511 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 341-0511
(304) 341-0197
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10910
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116714000
—
WV
05
—
3810012081
—
WV
Enumeration date
07/08/2006
Last updated
03/21/2012
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