Organization
JAY E ENDRES MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY J ENDRES (CORPORATE TREASURER)
(814) 723-3520
Entity
Organization
Contact information
Practice address
12 ELM ST, WARREN, PA 16365-2808
(814) 723-3520
(814) 726-2988
Mailing address
12 ELM ST, WARREN, PA 16365-2808
(814) 723-3520
(814) 726-2988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD039470L
PA
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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