Organization
FAYETTE MEDICAL ASSOCIATES INC
Active
Other names
The Doctors Office Masontown
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE PULICE (MEDICAL BILLER)
(724) 425-8317
Entity
Organization
Contact information
Practice address
2175 MCCLELLANDTOWN RD, SUITE 201, MASONTOWN, PA 15461-2593
(724) 583-2819
(724) 583-8550
Mailing address
112 YOUNGSTOWN RD, SUITE 101, LEMONT FURNACE, PA 15456-1344
(724) 425-8317
(724) 425-8326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015441410014
—
PA
01
—
1038270
GATEWAY
PA
01
—
26024
RAILROAD MEDICARE
PA
01
—
356566
HIGHMARK
PA
01
—
78017
UNISON
PA
01
—
E034
UPMC
PA
01
—
WC06
HEALTH AMERICA
PA
Enumeration date
02/14/2006
Last updated
11/04/2011
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