Organization
FAYETTE MEDICAL ASSOCIATES INC
Active
Other names
The Doctors Office Uniontown
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE PULICE (MEDICAL BILLER)
(724) 434-1650
Entity
Organization
Contact information
Practice address
104 DELAWARE AVE, SUITE 240, UNIONTOWN, PA 15401-3100
(724) 434-1655
(724) 430-3879
Mailing address
211 EASY ST, UNIONTOWN, PA 15401-3129
(724) 434-1650
(724) 434-1659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015441410017
—
PA
01
—
1028215
GATEWAY
PA
01
—
26055
RAILROAD MEDICARE
PA
01
—
3411
UPMC
PA
01
—
356573
HIGHMARK
PA
01
—
62007
UNIONTOWN
PA
01
—
WB20
HEALTH AMERICA
PA
Enumeration date
02/15/2006
Last updated
08/12/2008
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