Organization
MEADVILLE OBSTETRICS AND GYNECOLOGY ASSOCIATES
Active
Other names
Meadville OB/GYN Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY KWOKYIN KING MD (PRESIDENT)
(814) 333-5888
Entity
Organization
Contact information
Practice address
765 LIBERTY STREET, SUITE 202, MEADVILLE, PA 16335
(814) 333-5888
(814) 333-5026
Mailing address
765 LIBERTY STREET, SUITE 202, MEADVILLE, PA 16335
(814) 333-5888
(814) 333-5026
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017096170002
—
PA
01
—
433802
BLUE SHIELD
—
Enumeration date
04/07/2006
Last updated
12/02/2011
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