Individual
DR. MONIQUE KOSSAK GINGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
816 SOMERSET ST, MORGANTOWN, WV 26505-2111
(304) 599-5500
(304) 599-6009
Mailing address
816 SOMERSET ST, MORGANTOWN, WV 26505-2111
(304) 599-5500
(304) 599-6009
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
16719
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090246000
—
WV
Enumeration date
07/09/2006
Last updated
07/08/2007
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