Organization
MON-VALE SPECIALTY PRACTICES, INC
Active
Other names
Crudo Gonzalez Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SIMMONS (SECRETATY/TREASURER)
(724) 258-1106
Entity
Organization
Contact information
Practice address
25 FAYETTE STREET, BELLE VERNON, PA 15012
(724) 929-4122
(724) 929-5188
Mailing address
1163 COUNTRY CLUB RD, ATTENTION: DANIEL SIMMONS, MONONGAHELA, PA 15063-1013
(724) 258-1106
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/11/2012
Last updated
01/25/2013
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