# JEANNETTE PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JEANNETTE PRIMARY CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902826290
- **Legal business name:** JEANNETTE PRIMARY CARE
- **Authorized official:** SARA A IEZZU (MANAGER)
- **Authorized official phone:** (724) 527-9525

## Contact information

- **Practice address:** 3000 PENNY LN, JEANNETTE, PA 15644-4306
- **Practice address phone:** (724) 744-6167
- **Practice address fax:** (724) 527-9683
- **Mailing address:** 600 JEFFERSON AVE, JEANNETTE, PA 15644-2505
- **Mailing address phone:** (724) 527-9525
- **Mailing address fax:** (724) 527-9683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 04/20/2008