Organization
SURGICAL ASSOCIATES OF WINDBER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODOLFO LAZO FURIGAY MD (PRESIDENT)
(814) 467-5513
Entity
Organization
Contact information
Practice address
609 SOMERSET AVE, WINDBER, PA 15963-1330
(814) 467-5513
(814) 467-8455
Mailing address
609 SOMERSET AVE, WINDBER, PA 15963-1330
(814) 467-5513
(814) 467-8455
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD031178L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006591720002
—
PA
01
—
0055808
UNITED MINE WORKERS OF AM
PA
Enumeration date
04/14/2006
Last updated
10/23/2007
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