Individual
MR. EDWARD SHAWN SURMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED LBS
Contact information
Practice address
4731 ROUTE 30 STE 404, GREENSBURG, PA 15601-7260
(724) 850-7300
Mailing address
PO BOX 82, PLEASANT UNITY, PA 15676-0082
(412) 610-3429
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001933
PA
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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