Organization
GROVE CITY MEDICAL CENTER
Active
Other names
GCMC Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C. JACKSON JR. (CHIEF EXECUTIVE OFFICER)
(724) 450-7197
Entity
Organization
Contact information
Practice address
631 N BROAD STREET EXT, GROVE CITY, PA 16127-4603
(724) 450-7000
Mailing address
631 N BROAD STREET EXT, GROVE CITY, PA 16127-4603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD034805L
PA
207R00000X
Internal Medicine Physician
MD040440L
PA
207R00000X
Internal Medicine Physician
MD050557L
PA
207R00000X
Internal Medicine Physician
Primary
OS006328L
PA
Other
Enumeration date
06/07/2006
Last updated
10/27/2008
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