Provider Demographics
NPI:1932175858
Name:FILOZOF, PETER (MD)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:
Last Name:FILOZOF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 GARFIELD AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-5444
Mailing Address - Country:US
Mailing Address - Phone:304-485-2387
Mailing Address - Fax:304-485-8373
Practice Address - Street 1:400 MATTHEW ST STE 212
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-1656
Practice Address - Country:US
Practice Address - Phone:740-434-0574
Practice Address - Fax:740-434-0576
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV19394207V00000X
OH35.146500207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVWV19394OtherSTATE LICENSE NUMBER
OH35.146500OtherOHIO STATE MEDICAL BOARD
WV0093808000Medicaid
WVG32341Medicare UPIN