Organization
LAUREL RIDGE SURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J REILLY M.D. (PRESIDENT)
(724) 439-1020
Entity
Organization
Contact information
Practice address
196 W MAIN ST, UNIONTOWN, PA 15401-5537
(724) 439-1020
(724) 434-5485
Mailing address
196 W MAIN ST, UNIONTOWN, PA 15401-5537
(724) 439-1020
(724) 434-5485
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010549730006
—
PA
01
—
103737
UPMC
PA
01
—
1395403
UMWA
PA
Enumeration date
10/09/2006
Last updated
10/23/2008
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