# JAY E ENDRES MDPC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780875757
- **Authorized official:** MS. NANCY J ENDRES (CORPORATE TREASURER)
- **Authorized official phone:** (814) 723-3520

## Contact information

- **Practice address:** 12 ELM ST, WARREN, PA 16365-2808
- **Practice address phone:** (814) 723-3520
- **Practice address fax:** (814) 726-2988
- **Mailing address:** 12 ELM ST, WARREN, PA 16365-2808
- **Mailing address phone:** (814) 723-3520
- **Mailing address fax:** (814) 726-2988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD039470L | PA | Yes |

## Other

- **Enumeration date:** 08/06/2007
- **Last updated:** 08/06/2007