Organization
AMR OMAR SHAWARBY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA JEAN SHELL RN,CNOR (SURGICAL CARE COORDINATOR)
(814) 948-2805
Entity
Organization
Contact information
Practice address
2611 BIGLER AVENUE, NORTHERN CAMBRIA, PA 15714-0727
(814) 948-2805
(814) 948-2975
Mailing address
PO BOX 727, 2611 BIGLER AVENUE, NORTHERN CAMBRIA, PA 15714-0727
(814) 948-2805
(814) 948-2975
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD-064306-L
PA
2086S0129X
Vascular Surgery Physician
MD-064306-L
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD-064306-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016977950005
—
PA
Enumeration date
04/02/2008
Last updated
04/02/2008
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