| Excela Health Physician Practices, Inc | |
|
2618 Memorial Blvd Ste B-1 Connellsville PA 15425-1419 | |
| (724) 628-3944 | |
| Not Available |
| Full Name | Excela Health Physician Practices, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2618 Memorial Blvd Ste B-1, Connellsville, Pennsylvania |
| Authorized Official Name and Position | Renee M Varney (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7248506933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excela Health Physician Practices, Inc 134 Industrial Park Rd Ste 1500 Greensburg PA 15601-8153 Ph: (724) 850-6933 | Excela Health Physician Practices, Inc 2618 Memorial Blvd Ste B-1 Connellsville PA 15425-1419 Ph: (724) 628-3944 |
| NPI Number | 1497380885 |
|---|---|
| Provider Enumeration Date | 03/06/2020 |
| Last Update Date | 03/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497380885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Excela Health Connellsville Internal Med-dr. Tiberio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 W Crawford Ave, Connellsville, PA 15425 Phone: 724-628-5800 Fax: 724-628-1419 | |
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