Organization Name: | GROUP MEDICAL SERVICES |
NPI Number: | 1700959103 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRICIA D DURBIN (TREAURER) |
Mailing Address: | 2 Crescent Park West Warren |
State: | PA US |
Postal Code: | 163652111 |
Phone Number: | 8147233300 |
Fax Number: | 8147238515 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 03/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |