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Organization

HENRY P. GOSIENE,M.D.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HENRY P GOSIENE M.D. (OWNER)
(304) 252-4216
Entity
Organization

Contact information

Practice address
22 MALLARD CT, BECKLEY, WV 25801-3615
(304) 252-4216
(304) 253-6809
Mailing address
22 MALLARD CT, BECKLEY, WV 25801-3615
(304) 252-4216
(304) 253-6809

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00603
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0095654001
WV
05
0240042000
WV
01
0425002
MEDICARE ID
01
1043213762
NPI HENRY P GOSIENE M.D.
01
1437241346
TAOUFIK SADAT M.D. , NPI
01
9188541
MEDICARE ID
01
CJ9809
RAILROAD MEDICARE
Enumeration date
02/05/2007
Last updated
12/17/2007
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