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79 Wagner Rd Ste 202 Monaca PA 15061-2338 | |
(724) 775-5833 | |
(724) 770-7970 |
Full Name | |
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Speciality | Family Medicine |
Location | 79 Wagner Rd Ste 202, Monaca, Pennsylvania |
Authorized Official Name and Position | Norman F. Mitry (PRESIDENT & CEO) |
Authorized Official Contact | 7247734776 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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79 Wagner Rd Ste 202 Monaca PA 15061-2338 Ph: (724) 775-5833 | 79 Wagner Rd Ste 202 Monaca PA 15061-2338 Ph: (724) 775-5833 |
NPI Number | 1679725279 |
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Provider Enumeration Date | 10/15/2008 |
Last Update Date | 06/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679725279 | NPI | - | NPPES |
0015654460023 | Medicaid | PA | |
0202677 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Beaver County Career And Technology Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Poplar Ave, Monaca, PA 15061 Phone: 724-728-5800 | |
Tri-state Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Route 18 Wal-mart Shopping Plaza, Heritage Valley Convenient Care-monaca, Monaca, PA 15061 Phone: 724-774-5175 Fax: 724-774-5175 | |
Tri-state Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3468 Brodhead Rd, Monaca, PA 15061 Phone: 724-857-0591 | |