| Edgar A Boone Joy L Boone Md | |
|
401 Church St Herminie PA 15637-1457 | |
| (724) 446-5571 | |
| (724) 446-2151 |
| Full Name | Edgar A Boone Joy L Boone Md |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Church St, Herminie, Pennsylvania |
| Authorized Official Name and Position | Edgar A Boone (OWNER) |
| Authorized Official Contact | 7244465571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar A Boone Joy L Boone Md 401 Church St Herminie PA 15637-1457 Ph: (724) 446-5571 | Edgar A Boone Joy L Boone Md 401 Church St Herminie PA 15637-1457 Ph: (724) 446-5571 |
| NPI Number | 1447247986 |
|---|---|
| Provider Enumeration Date | 09/30/2005 |
| Last Update Date | 01/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447247986 | NPI | - | NPPES |
| 0473267 | Other | PA | AETNA GROUP ID NUMBER |
| 104152 | Other | PA | UPMC ID NUMBER |
| 1409575 | Other | PA | UMWA ID NUMBER |
| DG3332 | Other | PA | RAILROAD MEDICARE |
| 1003102 | Other | PA | GATEWAY ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Excela Health Herminie Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Church St, Herminie, PA 15637 Phone: 724-446-5571 Fax: 724-446-2151 |