Organization
PREMIER MEDICAL ASSOCIATES, PC
Active
Organization
PREMIER MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARK DERUBEIS (CIO)
(412) 457-0060
Entity
Organization
Contact information
Practice address
3824 NORTHERN PIKE, STE 415, MONROEVILLE, PA 15146-2141
(412) 457-0420
(412) 457-0416
Mailing address
3824 NORTHERN PIKE, STE 700, MONROEVILLE, PA 15146-2141
(412) 457-0060
(412) 457-0067
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD447439
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007504600079
—
PA
Enumeration date
05/06/2016
Last updated
05/06/2016
Update your record
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