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1630 D Midland Beaver Rd Industry PA 15052 | |
(724) 643-4101 | |
(724) 643-4102 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1630 D Midland Beaver Rd, Industry, Pennsylvania |
Authorized Official Name and Position | Ata Whaq (MEDICAL DIRECTOR) |
Authorized Official Contact | 7246589477 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1630 D Midland Beaver Rd Industry PA 15052 Ph: (724) 643-4101 | 1630 D Midland Beaver Rd Industry PA 15052 Ph: (724) 643-4101 |
NPI Number | 1639273816 |
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Provider Enumeration Date | 09/11/2006 |
Last Update Date | 02/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639273816 | NPI | - | NPPES |
1011188300002 | Medicaid | PA | |
1543350 | Medicaid | PA |