Organization
GEORGE R. CHERIAN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE R CHERIAN M.D. , P.C. (OWNER)
(814) 938-0123
Entity
Organization
Contact information
Practice address
803 W MAHONING ST, PUNXSUTAWNEY, PA 15767-1309
(814) 938-0123
(814) 938-2344
Mailing address
803 W MAHONING ST, PUNXSUTAWNEY, PA 15767-1309
(814) 938-0123
(814) 938-2344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD07172L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006183300001
—
PA
01
—
1327036
PENNSYLVANIA BLUE SHIELD
PA
Enumeration date
12/27/2007
Last updated
06/06/2014
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