Organization
CENTRE MEDICAL AND SURGICAL ASSOCIATES, P.C.
Active
Other names
Department of Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J. MCQUEARY (COO/ADMINISTRATIVE DIRECTOR)
(814) 234-4753
Entity
Organization
Contact information
Practice address
3901 S ATHERTON ST, SUITE 5, STATE COLLEGE, PA 16801-8324
(814) 466-7921
(814) 466-6570
Mailing address
3901 S ATHERTON ST, SUITE 5, STATE COLLEGE, PA 16801-8324
(814) 466-7921
(814) 466-6570
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD017801E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
713537
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/19/2006
Last updated
08/22/2020
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