| Olean Medical Group Partnership | |
|
28 N Main St Port Allegany PA 16743-1324 | |
| (814) 642-0117 | |
| (814) 642-0121 |
| Full Name | Olean Medical Group Partnership |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 28 N Main St, Port Allegany, Pennsylvania |
| Authorized Official Name and Position | Daniel Strauch (CEO) |
| Authorized Official Contact | 7163720141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olean Medical Group Partnership 28 N Main St Port Allegany PA 16743-1324 Ph: (814) 642-0117 | Olean Medical Group Partnership 28 N Main St Port Allegany PA 16743-1324 Ph: (814) 642-0117 |
| NPI Number | 1902229883 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 08/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902229883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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