Organization
FAY WEST MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC WILLIAM DI LEO MD (MEDICAL DOCTOR)
(724) 785-7080
Entity
Organization
Contact information
Practice address
127 SIMPSON RD STE C, BROWNSVILLE, PA 15417-8622
(724) 785-7080
(724) 785-5048
Mailing address
127 SIMPSON RD STE C, BROWNSVILLE, PA 15417-8622
(724) 785-7080
(724) 785-5048
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD016685F
PA
Other
Enumeration date
03/31/2008
Last updated
08/10/2012
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