Organization
CENTRE MEDICAL AND SURGICAL ASSOCIATES, P.C.
Active
Other names
Pediatrics Bellefonte
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MCQUEARY (COO/ADMINISTRATIVE DIRECTOR)
(814) 234-4753
Entity
Organization
Contact information
Practice address
141 MEDICAL PARK LN, BELLEFONTE, PA 16823-9112
(814) 355-3626
(814) 355-8479
Mailing address
141 MEDICAL PARK LN, BELLEFONTE, PA 16823-9112
(814) 355-3626
(814) 355-8479
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD019154E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007679310031
—
PA
Enumeration date
05/01/2006
Last updated
08/22/2020
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