Organization
HEALTH ASSOCIATES OF WESTERN PENNSYLVANIA P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KEITH JOHNJULIO M.D. (PRESIDENT)
(412) 415-1138
Entity
Organization
Contact information
Practice address
100 S JACKSON AVE, 5TH FLOOR, PITTSBURGH, PA 15202-3428
(412) 415-1138
(412) 301-0113
Mailing address
PO BOX 1236, BUTLER, PA 16003-1236
(412) 937-9640
(412) 937-8639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
MA052916
PA
363AM0700X
Medical Physician Assistant
MA002042L
PA
363L00000X
Nurse Practitioner
TP005003B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101792133
—
PA
01
—
1517162
GATEWAY
PA
01
—
1905604
BCBS
PA
01
—
DF5831
RR MCR
PA
Enumeration date
09/29/2006
Last updated
10/28/2015
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