Organization
PEDIATRIC CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIZWAN JABIR M.D. (OWNER)
(724) 397-2326
Entity
Organization
Contact information
Practice address
100 NEALE ADDRESS, MAHONING MEDICAL CENTER, MARION CENTER, PA 15759-0268
(724) 397-2326
Mailing address
ROUTE 403 SOUTH, PO BOX 268, MARION CENTER, PA 15759
(724) 397-2326
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
613096
PA BLUE SHIELD
PA
Enumeration date
10/11/2006
Last updated
08/22/2020
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