Organization
CENTRE MEDICAL AND SURGICAL ASSOCIATES, P.C.
Active
Other names
Department of Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J. MCQUEARY (COO/ADMINISTRATIVE DIRECTOR)
(814) 234-4753
Entity
Organization
Contact information
Practice address
3901 S ATHERTON ST, SUITE 2, STATE COLLEGE, PA 16801-8324
(814) 466-2300
(814) 466-2822
Mailing address
3901 S ATHERTON ST, SUITE 2, STATE COLLEGE, PA 16801-8324
(814) 466-2300
(814) 466-2822
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD021110E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73303
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/11/2006
Last updated
08/22/2020
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