Organization
MEADVILLE MEDICAL CENTER
Active
Other names
Meadville Dermatology and Skin Surgery Institute
Organization subpart
No
Provider details
NPI number
Authorized official
RENATO SUNTAY (VP/CHIEF FINANCIAL OFFICER)
(814) 333-5030
Entity
Organization
Contact information
Practice address
149 N MAIN ST, MEADVILLE, PA 16335-1112
(814) 333-5000
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5762
(814) 333-5640
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
06/11/2012
Last updated
09/24/2025
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