Organization
WARREN GENERAL HOSPITAL
Active
Other names
Warren Medical Group Specialty Services
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SNYDER (EXEC DIR OF FISCAL SERVICES)
(814) 723-3300
Entity
Organization
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-4973
(814) 723-6095
Mailing address
2 CRESCENT PARK WEST, WARREN, PA 16365-2111
(814) 723-3300
(814) 723-8515
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD010966E
PA
208600000X
Surgery Physician
Primary
OS015203
PA
208800000X
Urology Physician
MD432670
PA
Other
Enumeration date
04/26/2011
Last updated
05/11/2020
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