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400 Locust Ave Washington PA 15301-3397 | |
(724) 222-9300 | |
(724) 222-9246 |
Full Name | |
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Speciality | Internal Medicine |
Location | 400 Locust Ave, Washington, Pennsylvania |
Authorized Official Name and Position | Denise Noel (DIRECTOR PROVIDER ENROLLMENT) |
Authorized Official Contact | 4123305861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4 Allegheny Ctr Fl 7 Pittsburgh PA 15212-5255 Ph: (412) 330-5861 | 400 Locust Ave Washington PA 15301-3397 Ph: (724) 222-9300 |
NPI Number | 1750756847 |
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Provider Enumeration Date | 12/01/2015 |
Last Update Date | 11/06/2020 |
Identifier | Type | State | Issuer |
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1750756847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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