Organization
GREENSBURG MEDICAL ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TYMOCZKO MD (PRESIDENT)
(724) 836-8400
Entity
Organization
Contact information
Practice address
545 RUGH ST., SUITE 5000, GREENSBURG, PA 15601-5684
(724) 836-8400
(724) 836-8459
Mailing address
545 RUGH ST, SUITE 5000, GREENSBURG, PA 15601-5684
(724) 836-8400
(724) 836-8459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD022676E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207650
HEALTHAMERICA
PA
01
—
2147496
AETNA US HEALTHCARE
PA
01
—
416263
BLUE SHIELD
PA
Enumeration date
11/15/2006
Last updated
03/18/2014
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