Organization
FAYETTE MEDICAL ASSOCIATES INC
Active
Other names
The Doctors Office Smithfield
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE PULICE (MEDICAL BILLER)
(724) 434-1650
Entity
Organization
Contact information
Practice address
25 MAIN ST, SMITHFIELD, PA 15478-8943
(724) 569-5140
(724) 569-5209
Mailing address
211 EASY ST, UNIONTOWN, PA 15401-3129
(724) 434-1650
(724) 434-1659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015441410018
—
PA
01
—
1037778
GATEWAY
PA
01
—
26071
RAILROAD MEDICARE
PA
01
—
356567
HIGHMARK
PA
01
—
63356
UNISON
PA
01
—
E035
UPMC
PA
01
—
WC53
HEALTH AMERICA
PA
Enumeration date
02/14/2006
Last updated
07/21/2022
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