Organization
MCMURRAY PEDIATRIC AND ADOLESCENT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONJA J DICAMILLO MD (OWNER)
(724) 941-8199
Entity
Organization
Contact information
Practice address
6000 WATERDAM PLAZA DR, SUITE 280, MC MURRAY, PA 15317-5413
(724) 941-8199
(724) 942-6423
Mailing address
6000 WATERDAM PLAZA DR, SUITE 280, MC MURRAY, PA 15317-5413
(724) 941-8199
(724) 942-6423
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD419996
PA
Other
Enumeration date
06/14/2006
Last updated
10/02/2007
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