Organization Name: | PUNXSUTAWNEY MEDICAL SERVICES |
NPI Number: | 1215335302 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOANNA UBERTI (PRACTICE MANAGER) |
Mailing Address: | 83 Hillcrest Dr Suite 100 Punxsutawney |
State: | PA US |
Postal Code: | 157672605 |
Phone Number: | 8149385910 |
Fax Number: | 8149384525 |
NPI Enumeration Date: | 12/05/2014 |
NPI Last Update Date: | 12/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | MD450924 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |