| Joseph Lamantia, Do Pc | |
|
1690 Saltsburg Ave Indiana PA 15701-3525 | |
| (724) 463-7630 | |
| (724) 463-7632 |
| Full Name | Joseph Lamantia, Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1690 Saltsburg Ave, Indiana, Pennsylvania |
| Authorized Official Name and Position | Joseph Lamantia (CEO) |
| Authorized Official Contact | 7244637630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Lamantia, Do Pc 1690 Saltsburg Ave Indiana PA 15701-3525 Ph: (724) 463-7630 | Joseph Lamantia, Do Pc 1690 Saltsburg Ave Indiana PA 15701-3525 Ph: (724) 463-7630 |
| NPI Number | 1578640496 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 09/03/2014 |
| Medicare PECOS PAC ID | 1951323674 |
|---|---|
| Medicare Enrollment ID | O20051222000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578640496 | NPI | - | NPPES |
| 001759577 | Other | PA | BCBS |
| 0019602180003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS012719 (Pennsylvania) | Primary |
| Provider Name | Joseph Lamantia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467428979 PECOS PAC ID: 6204857386 Enrollment ID: I20051216000288 |
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