Organization
GEORGE PUEBLITZ, M.D.
Active
Other names
Sonis Pueblitz Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE PUEBLITZ M.D. (PRESIDENT)
(814) 539-3119
Entity
Organization
Contact information
Practice address
891 MENOHER BLVD, JOHNSTOWN, PA 15905-2839
(814) 539-3119
(814) 539-4137
Mailing address
891 MENOHER BLVD, JOHNSTOWN, PA 15905-2839
(814) 539-3119
(814) 539-4137
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MD028921E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015183660002
—
PA
Enumeration date
10/31/2007
Last updated
06/02/2016
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