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Organization

MEDICAL ASSOCIATES OF BOSWELL

Active
Parent organization
MEDICAL ASSOCIATES OF BOSWELL
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDICAL ASSOCIATES OF BOSWELL
Authorized official
DR. WILLIAM O THOMPSON MD (ADMINISTRATOR)
(814) 893-5568
Entity
Organization

Contact information

Practice address
136 S PINE AVE, STOYSTOWN, PA 15563-6002
(814) 893-5568
(814) 893-5989
Mailing address
136 S PINE AVE, BOX 340, STOYSTOWN, PA 15563-6002
(814) 893-5568
(814) 893-5989

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000069206
HIGHMARK
PA
01
000322665
HIGHMARK
PA
05
1007698380001
PA
05
1007698380002
PA
Enumeration date
02/22/2007
Last updated
05/14/2008
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