Organization
SECLAIRER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY PASTERNAK (OFFICE MANAGER)
(724) 468-3999
Entity
Organization
Contact information
Practice address
341 STORY RD, EXPORT, PA 15632-2666
(724) 468-3999
(724) 468-0039
Mailing address
341 STORY RD, EXPORT, PA 15632-2666
(724) 468-3999
(724) 468-0039
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
MD073585-L
PA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001636335
HIGHMARK
PA
Enumeration date
10/16/2006
Last updated
07/14/2014
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