Organization Name: | OAKMONT PHYSICAL MEDICINE PC |
NPI Number: | 1467845818 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALEC B CIRIGLIANO (OWNER) |
Mailing Address: | 285 Hillcrest Dr Lower Burrell |
State: | PA US |
Postal Code: | 150682301 |
Phone Number: | 4129131036 |
Fax Number: | |
NPI Enumeration Date: | 03/10/2015 |
NPI Last Update Date: | 03/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |