Organization
CENTRE MEDICAL AND SURGICAL ASSOCIATES, P.C.
Active
Organization
CENTRE MEDICAL AND SURGICAL ASSOCIATES, P.C.
Active
Other names
Medicine State College
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J. MCQUEARY (COO/ADMINISTRATIVE DIRECTOR)
(814) 234-4753
Entity
Organization
Contact information
Practice address
1850 E PARK AVE, SUITE 201, STATE COLLEGE, PA 16803-6706
(814) 234-8800
(814) 234-8068
Mailing address
1850 E PARK AVE, SUITE 201, STATE COLLEGE, PA 16803-6706
(814) 234-8800
(814) 234-8068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD067665L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007679310027
—
PA
Enumeration date
05/01/2006
Last updated
08/22/2020
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