Organization
SEWICKLEY VALLEY RHEUMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERI L BACU MD (SOLE PROPRIETOR)
(724) 266-2447
Entity
Organization
Contact information
Practice address
1196 MERCHANT STREET, AMBRIDGE, PA 15003-2335
(724) 266-2447
(724) 266-2920
Mailing address
1196 MERCHANT STREET, AMBRIDGE, PA 15003-2335
(724) 266-2447
(724) 266-2920
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD049189L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633767
BLUE SHIELD
PA
Enumeration date
12/27/2006
Last updated
08/22/2020
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