Excela Health Physician Practices

NPI 1053562892 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1053562892
Enumeration Date 10/09/2008
Last Updated 07/30/2015
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KENNY KENNY
Position VP OF OPERATIONS
Phone (724) 689-1070
Fax
Practice Location
410 PELLIS RD
SUITE 2A
GREENSBURG PA, 15601-4700, US
Phone (724) 689-1070
Fax
Business Location
5626 OBERLIN DR
SUITE 110
SAN DIEGO CA, 92121-1705, US
Phone
Fax
Toxanomy
Taxonomy Code 332900000X
License State Pennsylvania
License Number OS007039E
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According to our database, Excela Health Physician Practices NPI is 1053562892, taxonomy code is 332900000X and license number is OS007039E, license state is located at Pennsylvania. Excela Health Physician Practices physically located at 410 Pellis Rd, Greensburg PA, 15601-4700. NPI Number 1033115704 has the healthcare provider type.

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1053562892 NPI number is provided on an as is basis without warranty of any kind. 1053562892 is maintained by the National Plan & Provider Enumeration System. The contents of Excela Health Physician Practices are for informational purposes only.