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Organization
SPECIALTY ORTHOPAEDICS PC PT
Active
Organization
SPECIALTY ORTHOPAEDICS PC PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W PISTON MD (OWNER/SURGEON)
(724) 342-2663
Entity
Organization
Contact information
Practice address
3120 HIGHLAND RD, HERMITAGE, PA 16148-4512
(724) 342-2663
Mailing address
3120 HIGHLAND RD, HERMITAGE, PA 16148-4512
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT002811E
PA
225100000X
Physical Therapist
Primary
PT007065L
PA
225100000X
Physical Therapist
PT015299
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000652655
BLUE SHIELD
PA
Enumeration date
07/11/2006
Last updated
04/25/2011
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