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Organization

EXCELA HEALTH INTERNAL MEDICINE & PEDIATRICS

Active
Parent organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC
Other names
WPHC-Delmont
Organization subpart
Yes

Provider details

NPI number
Legal business name
EXCELA HEALTH PHYSICIAN PRACTICES, INC
Authorized official
JOHN M SPHON (VICE PRESIDENT)
(724) 830-8500
Entity
Organization

Contact information

Practice address
421 ROUTE 22, DELMONT, PA 15626-1637
(724) 468-8764
(724) 468-8785
Mailing address
421 ROUTE 22, DELMONT, PA 15626-1637
(724) 468-8764
(724) 468-8785

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD423578
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015621860027
PA
Enumeration date
10/04/2006
Last updated
03/14/2008
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  • Eligibility checks
  • EDI platform