Organization
MEADVILLE MEDICAL CENTER
Active
Other names
MMC ENT
Organization subpart
No
Provider details
NPI number
Authorized official
RENATO J SUNTAY (CFO)
(814) 333-5030
Entity
Organization
Contact information
Practice address
11277 VERNON PL STE 1400, MEADVILLE, PA 16335-3717
(814) 373-3070
(814) 373-3074
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
01/13/2025
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