| Organization Name: | CENTRE MEDICAL AND SURGICAL ASSOCIATES, P.C., DEPT OF OB/GYN |
| NPI Number: | 1245294693 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN J. MCQUEARY (COO/ADMINISTRATIVE DIRECTOR) |
| Mailing Address: | 1850 E Park Ave Suite 301 State College |
| State: | PA US |
| Postal Code: | 168036706 |
| Phone Number: | 8142373470 |
| Fax Number: | 8142372035 |
| NPI Enumeration Date: | 04/13/2006 |
| NPI Last Update Date: | 06/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | MD027554E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |