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Organization
MEADVILLE MEDICAL CENTER
Active
Organization
MEADVILLE MEDICAL CENTER
Active
Other names
MEADVILLE OB/GYN ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
RENATO J SUNTAY (CFO)
(814) 333-5030
Entity
Organization
Contact information
Practice address
765 LIBERTY ST STE 202, MEADVILLE, PA 16335-2568
(814) 333-5888
(814) 333-5887
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5888
(814) 333-5887
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
207VX0000X
Obstetrics Physician
Primary
—
NULL
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
03/26/2025
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