Organization
MEADVILLE MEDICAL CENTER
Active
Other names
Cardiology FPA
Organization subpart
No
Provider details
NPI number
Authorized official
RENATO J SUNTAY (CHIEF FINANCIAL OFFICER)
(814) 333-5031
Entity
Organization
Contact information
Practice address
751 LIBERTY ST, MEADVILLE, PA 16335-2591
(814) 333-5155
(814) 333-5198
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5000
(814) 333-5640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
01/23/2007
Last updated
05/28/2025
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