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Organization

JOSEPH LAMANTIA, DO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH LAMANTIA DO (CEO)
(724) 463-7630
Entity
Organization

Contact information

Practice address
1690 SALTSBURG AVE, INDIANA, PA 15701-3525
(724) 463-7630
(724) 463-7632
Mailing address
1690 SALTSBURG AVE, INDIANA, PA 15701-3525
(724) 463-7630
(724) 463-7632

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS012719
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001759577
BCBS
PA
05
0019602180003
PA
Enumeration date
11/01/2006
Last updated
09/03/2014
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