Individual
BETH A MAGNIFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
304 EVANS DR STE 401, ELLWOOD CITY, PA 16117-1478
(724) 824-8185
(724) 824-8191
Mailing address
100 SHENANGO AVE, SHARON, PA 16146-1503
(724) 824-8185
(724) 824-8191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS007901L
PA
208000000X
Pediatrics Physician
OS007901L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000001741740
—
PA
Enumeration date
05/20/2006
Last updated
06/04/2024
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