Organization
FAYETTE SPECIALTY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADINE GISANE (ASSISTANT DIRECTOR)
(724) 425-8334
Entity
Organization
Contact information
Practice address
211 EASY ST, UNIONTOWN, PA 15401-3129
(724) 430-1810
(724) 430-1490
Mailing address
211 EASY ST, SUITE 211, UNIONTOWN, PA 15401-3129
(724) 434-1650
(724) 434-1659
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001462808
—
PA
01
—
1530427
GATEWAY
PA
01
—
209772
HEALTH AMERICA
PA
Enumeration date
07/28/2005
Last updated
07/21/2022
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