Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 701 5th St, Beaver, Pennsylvania |
Authorized Official Name and Position | Norman Mitry (PRESIDENT & CEO) |
Authorized Official Contact | 7247734776 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
701 5th St Beaver PA 15009-1964 Ph: (724) 774-0232 | 701 5th St Beaver PA 15009-1964 Ph: (724) 774-0232 |
NPI Number | 1639321235 |
---|---|
Provider Enumeration Date | 10/15/2008 |
Last Update Date | 06/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639321235 | NPI | - | NPPES |
0015654460023 | Medicaid | PA | |
0202677 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Association Of Specialty Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 274 3rd St, Beaver, PA 15009 Phone: 724-775-2112 Fax: 724-775-2131 | |
Annmarie Ray Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 274 Third Street, Suite 3, Beaver, PA 15009 Phone: 724-770-9006 Fax: 724-770-9906 | |
Association Of Specialty Physicians, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 Beaner Hollow Rd, Beaver, PA 15009 Phone: 724-775-4242 Fax: 724-775-4960 |