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350 Bonar Ave Waynesburg PA 15370-1608 | |
| (724) 627-2600 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 350 Bonar Ave, Waynesburg, Pennsylvania |
| Authorized Official Name and Position | Jared Weiner (CFO) |
| Authorized Official Contact | 4128647000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
350 Bonar Ave Waynesburg PA 15370-1608 Ph: (724) 627-2600 | 350 Bonar Ave Waynesburg PA 15370-1608 Ph: (724) 627-2600 |
| NPI Number | 1750760328 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 11/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750760328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 852101 (Pennsylvania) | Primary |
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