| Organization Name: | CORE MEDICAL GROUP, INC. |
| NPI Number: | 1922443860 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM SCALISE (CEO) |
| Mailing Address: | 12280 Route 30 Irwin |
| State: | PA US |
| Postal Code: | 156421820 |
| Phone Number: | 7248647447 |
| Fax Number: | 4122793416 |
| NPI Enumeration Date: | 05/06/2013 |
| NPI Last Update Date: | 05/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD044592E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PW |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |