Organization
SUMMIT PULMONARY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY P PENDLETON M.D., F.C.C.P. (PRESIDENT)
(814) 849-8329
Entity
Organization
Contact information
Practice address
111 SUMMIT ST, BROOKVILLE, PA 15825-1422
(814) 849-8329
(814) 849-5441
Mailing address
111 SUMMIT ST, BROOKVILLE, PA 15825-1422
(814) 849-8329
(814) 849-5441
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD428157
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017702250001
—
PA
Enumeration date
04/20/2009
Last updated
04/20/2009
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