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5000 Waterdam Plaza Dr Suite 180 Mc Murray PA 15317-5412 | |
(724) 942-4372 | |
(724) 942-4373 |
Full Name | |
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Speciality | Family Medicine |
Location | 5000 Waterdam Plaza Dr, Mc Murray, 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 | 5000 Waterdam Plaza Dr Suite 180 Mc Murray PA 15317-5412 Ph: (724) 942-4372 |
NPI Number | 1174959175 |
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Provider Enumeration Date | 09/23/2013 |
Last Update Date | 11/06/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174959175 | NPI | - | NPPES |
100731714 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Pennsylvania) | Primary |
Vincent F. Petraglia And Associates P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Valleybrook Rd, Suite 300, Mc Murray, PA 15317 Phone: 724-941-5588 Fax: 724-941-1458 | |