Organization
WEXFORD CARDIOLOGY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRUDENCIO C LUCERO MD (PHYSICIAN)
(724) 940-6000
Entity
Organization
Contact information
Practice address
1000 STONEWOOD DR, SUITE 110, WEXFORD, PA 15090-8386
(724) 940-6000
Mailing address
1000 STONEWOOD DR, SUITE 110, WEXFORD, PA 15090-8386
(724) 940-6000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
050308L
PA
Other
Enumeration date
06/13/2012
Last updated
03/25/2013
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