| Tylerdale Family Medicine Pc | |
|
151 N Franklin St Washington PA 15301-4307 | |
| (724) 222-7240 | |
| Not Available |
| Full Name | Tylerdale Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 151 N Franklin St, Washington, Pennsylvania |
| Authorized Official Name and Position | Dennis Kitsko (PRESIDENT) |
| Authorized Official Contact | 7242227240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tylerdale Family Medicine Pc 151 N Franklin St Washington PA 15301-4307 Ph: (724) 222-7240 | Tylerdale Family Medicine Pc 151 N Franklin St Washington PA 15301-4307 Ph: (724) 222-7240 |
| NPI Number | 1194794057 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 10/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194794057 | NPI | - | NPPES |
| 124474 | Other | PA | HIGHMARK BS/KHPW |
| 0009402480001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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