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Organization

FRG CENTRAL PA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY J PISULA (COO)
(412) 551-0011
Entity
Organization

Contact information

Practice address
701 E 16TH ST, BERWICK, PA 18603-2316
(570) 759-5000
Mailing address
PO BOX 60, PITTSBURGH, PA 15230-0060
(412) 937-5726
(412) 937-5706

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
08/21/2009
Last updated
08/21/2009
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