| |
9500 Brooktree Rd Suite 100 Wexford PA 15090-9227 | |
(724) 933-1445 | |
(724) 933-1449 |
Full Name | |
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Speciality | Internal Medicine |
Location | 9500 Brooktree Rd, Wexford, Pennsylvania |
Authorized Official Name and Position | Cecili R Jones (ANALYST) |
Authorized Official Contact | 4123304813 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9500 Brooktree Rd Suite 100 Wexford PA 15090-9227 Ph: (724) 933-1445 | 9500 Brooktree Rd Suite 100 Wexford PA 15090-9227 Ph: (724) 933-1445 |
NPI Number | 1720414709 |
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Provider Enumeration Date | 09/23/2013 |
Last Update Date | 04/08/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720414709 | NPI | - | NPPES |
100731714 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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