Organization
CITY OF WARREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANTO JOSEPH PASCUZZI (FIRE CHIEF CITY OF WARRREN)
(814) 723-2950
Entity
Organization
Contact information
Practice address
314 W 3RD AVE, WARREN, PA 16365-2334
(814) 723-2950
(814) 723-3242
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(800) 473-2278
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014089360003
—
PA
01
—
1043236
AETNA USHC BLUE BELL HMO
—
01
—
223998
BC BS OF PA BLUE SHIELD
PA
01
—
50040817
CAPITAL BLUE CROSS BASIC
—
01
—
833811
UMWA HEALTH & RETIREMENT
—
Enumeration date
09/23/2005
Last updated
10/29/2009
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