| Hvmg Bassilios | |
|
935 Thorn Run Rd Suite 214 Coraopolis PA 15108-2861 | |
| (412) 262-4130 | |
| (412) 262-9109 |
| Full Name | Hvmg Bassilios |
|---|---|
| Speciality | Internal Medicine |
| Location | 935 Thorn Run Rd, Coraopolis, Pennsylvania |
| Authorized Official Name and Position | Norman F. Mitry (PRESIDENT & CEO) |
| Authorized Official Contact | 7247734776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hvmg Bassilios 935 Thorn Run Rd Suite 214 Coraopolis PA 15108-2861 Ph: (412) 262-4130 | Hvmg Bassilios 935 Thorn Run Rd Suite 214 Coraopolis PA 15108-2861 Ph: (412) 262-4130 |
| NPI Number | 1417109091 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 06/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417109091 | NPI | - | NPPES |
| 0014950830029 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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