Organization
GYNO ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH A MAXWELL MD (PRESIDENT)
(724) 539-8581
Entity
Organization
Contact information
Practice address
1010 LIGONIER ST, LATROBE, PA 15650-1882
(724) 539-8581
(724) 539-1575
Mailing address
1010 LIGONIER ST, LATROBE, PA 15650-1882
(724) 539-8581
(724) 539-1575
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023111
UNITED HEALTHCARE
PA
01
—
067988
BS
PA
01
—
1006226
GATEWAY
PA
05
—
1007444810005
—
PA
05
—
1007444810006
—
PA
01
—
63093
UNISON
PA
01
—
V02311
UPMC
PA
Enumeration date
05/23/2006
Last updated
08/22/2020
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