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Organization

WESTERN PA NEUROLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES PATRICK GENNAULA M.D. (PRESIDENT)
(724) 929-7800
Entity
Organization

Contact information

Practice address
100 PEASANT VILLAGE LN, BELLE VERNON, PA 15012-4333
(724) 929-7800
(724) 929-3229
Mailing address
100 PEASANT VILLAGE LN, BELLE VERNON, PA 15012-4333
(724) 929-7800
(724) 929-3229

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015218170004
PA
05
0018903290001
PA
05
1012188630001
PA
Enumeration date
06/25/2006
Last updated
01/10/2013
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