Organization
FAYETTE MEDICAL ASSOCIATES INC
Active
Other names
The Doctors Office Brownsville
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE PULICE (MEDICAL BILLER)
(724) 434-1650
Entity
Organization
Contact information
Practice address
111B ROBERTS RD, GRINDSTONE, PA 15442-1105
(724) 785-2161
(724) 785-3187
Mailing address
211 EASY ST, UNIONTOWN, PA 15401-3129
(724) 434-1650
(724) 434-1659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015441410015
—
PA
01
—
1035004
GATEWAY
PA
01
—
26073
RAILROAD MEDICARE
PA
01
—
356571
HIGHMARK
PA
01
—
63354
UNISON
PA
01
—
B134
UPMC
PA
01
—
WC05
HEALTH AMERICA
PA
Enumeration date
02/14/2006
Last updated
08/12/2008
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