Organization
CRANBERRY INTERNAL MEDICINE ASSOC.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WUSYLKO M.D. (OWNER)
(724) 776-4776
Entity
Organization
Contact information
Practice address
20826 ROUTE 19, CRANBERRY TWP, PA 16066-6028
(724) 776-4776
(724) 776-0251
Mailing address
20826 ROUTE 19, CRANBERRY TWP, PA 16066-6028
(724) 776-4776
(724) 776-0251
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD021760E
PA
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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