Albert J Alley Do Pllc | |
301 W 3rd St Berwick PA 18603-3603 | |
(570) 204-5440 | |
Not Available |
Full Name | Albert J Alley Do Pllc |
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Speciality | General Practice |
Location | 301 W 3rd St, Berwick, Pennsylvania |
Authorized Official Name and Position | Albert J Alley (SOLE MEMBER) |
Authorized Official Contact | 5702045440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Albert J Alley Do Pllc 301 W 3rd St Berwick PA 18603-3603 Ph: () - | Albert J Alley Do Pllc 301 W 3rd St Berwick PA 18603-3603 Ph: (570) 204-5440 |
NPI Number | 1548996820 |
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Provider Enumeration Date | 07/28/2022 |
Last Update Date | 07/28/2022 |
Medicare PECOS PAC ID | 9537542071 |
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Medicare Enrollment ID | O20220817001024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548996820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Albert J Alley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417924267 PECOS PAC ID: 6608919485 Enrollment ID: I20100202000239 |
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