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Organization
IRWIN FAMILY CARE, PC
Active
Organization
IRWIN FAMILY CARE, PC
Active
Other names
Irwin Family Care, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAWDAT A NIKOULA MD (MD/ OWNER)
(724) 864-9595
Entity
Organization
Contact information
Practice address
905 SPRUCE ST STE 201, IRWIN, PA 15642-3683
(724) 864-9595
(724) 864-9860
Mailing address
905 SPRUCE ST, IRWIN, PA 15642-3683
(724) 864-9595
(724) 864-9860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012633100002
—
PA
Enumeration date
06/02/2006
Last updated
02/25/2025
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