Organization
ATWOOD & CLARK CONSULTANTS
Active
Other names
Midway Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ATA ULHAQ MD (MEDICAL DIRECTOR)
(724) 658-9477
Entity
Organization
Contact information
Practice address
3548 ELLWOOD ROAD, NEW CASTLE, PA 16101
(724) 658-9477
(724) 658-9476
Mailing address
3548 ELLWOOD ROAD, NEW CASTLE, PA 16101
(724) 658-9477
(724) 658-9476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011350060008
—
PA
05
—
0012149600019
—
PA
05
—
1011188300001
—
PA
05
—
1011188300002
—
PA
05
—
1849960019
—
PA
Enumeration date
09/29/2006
Last updated
01/28/2010
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