Organization
CENTRE MEDICAL AND SURGICAL ASSOCIATES, P.C., DEPT OF OB/GYN
Active
Parent organization
CENTRE MEDICAL AND SURGICAL ASSOCIATES, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRE MEDICAL AND SURGICAL ASSOCIATES, P.C.
Authorized official
JOHN J. MCQUEARY (COO/ADMINISTRATIVE DIRECTOR)
(814) 234-4753
Entity
Organization
Contact information
Practice address
1850 E PARK AVE, SUITE 301, STATE COLLEGE, PA 16803-6706
(814) 237-3470
(814) 237-2035
Mailing address
1850 E PARK AVE, SUITE 301, STATE COLLEGE, PA 16803-6706
(814) 237-3470
(814) 237-2035
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD027554E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421802
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/13/2006
Last updated
06/23/2008
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