Organization
CANADY SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME CANADY M.D. (PRESIDENT)
(724) 483-3639
Entity
Organization
Contact information
Practice address
100 STOOPS DRIVE, SUITE 230, MONONGAHELA, PA 15063-3556
(724) 483-3639
(724) 483-3758
Mailing address
100 STOOPS DRIVE, SUITE 230, MONONGAHELA, PA 15063-3553
(724) 483-3639
(724) 483-3758
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD093942
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019634460002
—
PA
Enumeration date
12/04/2007
Last updated
12/05/2007
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