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Organization
TIMOTHY S STANTON MD
Active
Organization
TIMOTHY S STANTON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY SCOTT STANTON MD (OWNER)
(814) 723-8240
Entity
Organization
Contact information
Practice address
114 MAIN AVE, WARREN, PA 16365
(814) 723-8240
(814) 723-3665
Mailing address
114 MAIN AVE, WARREN, PA 16365
(814) 723-8240
(814) 723-3665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
153655
PA
363AM0700X
Medical Physician Assistant
MA002037L
PA
363AM0700X
Medical Physician Assistant
MA003301L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00165061
RAILROAD MEDICAL
—
05
—
0557234
—
PA
01
—
1568169
BLUE CROSS BS GROUP #
—
01
—
158813
THREE RIVERS
—
01
—
303396
UPMC
—
01
—
755356
BLUE CROSS BS
—
01
—
DC3811
RAILROAD MEDICAL GR #
—
Enumeration date
09/14/2006
Last updated
06/23/2008
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