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5000 Stonewood Dr Ste 210 Wexford PA 15090-8395 | |
(412) 912-1100 | |
(412) 912-1152 |
Full Name | |
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Speciality | General Practice |
Location | 5000 Stonewood Dr Ste 210, Wexford, Pennsylvania |
Authorized Official Name and Position | Edem Avotri (OFFICE MANAGER) |
Authorized Official Contact | 9376136239 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5000 Stonewood Dr Ste 210 Wexford PA 15090-8395 Ph: (412) 912-1100 | 5000 Stonewood Dr Ste 210 Wexford PA 15090-8395 Ph: (412) 912-1100 |
NPI Number | 1437887569 |
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Provider Enumeration Date | 08/08/2022 |
Last Update Date | 06/20/2024 |
Medicare PECOS PAC ID | 5294109104 |
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Medicare Enrollment ID | O20230316000029 |
Identifier | Type | State | Issuer |
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1437887569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Elizabeth A Langer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1033345830 PECOS PAC ID: 0446493985 Enrollment ID: I20130830000376 |
Provider Name | Michael D Roberts |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376861922 PECOS PAC ID: 3476797929 Enrollment ID: I20150806010050 |
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