| Specialists | |
|
1850 E Park Ave Suite 201 State College PA 16803-6706 | |
| (814) 234-8800 | |
| (814) 234-8068 |
| Full Name | Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 1850 E Park Ave, State College, Pennsylvania |
| Authorized Official Name and Position | John Mcqueary (COO/ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 8142344753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialists 1850 E Park Ave Suite 201 State College PA 16803-6706 Ph: (814) 234-8800 | Specialists 1850 E Park Ave Suite 201 State College PA 16803-6706 Ph: (814) 234-8800 |
| NPI Number | 1306803531 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306803531 | NPI | - | NPPES |
| 50047343 | Other | PA | CAPITAL BLUE CROSS |
| 1007679310027 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD017746E (Pennsylvania) | Primary |
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