Dr Raymond Joseph Vautour, MD | |
1800 E Park Ave, State College, PA 16803-6701 | |
(814) 234-6117 | |
(814) 231-7390 |
Full Name | Dr Raymond Joseph Vautour |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1800 E Park Ave, State College, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598747271 | NPI | - | NPPES |
001246103 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD044290L (Pennsylvania) | Primary |
Entity Name | Centre Pathology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922003540 PECOS PAC ID: 2163401076 Enrollment ID: O20040715000195 |
Mailing Address | Practice Location Address |
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Dr Raymond Joseph Vautour, MD Po Box 197, State College, PA 16804-0197 Ph: (814) 235-1205 | Dr Raymond Joseph Vautour, MD 1800 E Park Ave, State College, PA 16803-6701 Ph: (814) 234-6117 |
Dr. Harry Nachlas Kamerow, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6117 Fax: 814-231-7390 | |
Dr. Paul Dennis Murray, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6117 Fax: 814-231-7390 | |
Dr. Brian Joseph Kolar, MD Pathology Medicare: Medicare Enrolled Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6117 Fax: 814-231-7390 | |
Josie Munkberg, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7000 | |
Dr. Sarah Jayne Carroll, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7800 | |
Dr. Jeanne A Lumadue, MD, PHD Pathology Medicare: Medicare Enrolled Practice Location: Centre Medical And Surgical Associates, P.c., 1850 East Park Avenue, Suite 205, State College, PA 16803 Phone: 814-234-7800 Fax: 814-235-1133 |