| Joseph J. Conti D.o., Ltd. | |
|
480 N Kerrwood Dr Suite 102 Hermitage PA 16148-5212 | |
| (724) 981-0823 | |
| (724) 981-6409 |
| Full Name | Joseph J. Conti D.o., Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 480 N Kerrwood Dr, Hermitage, Pennsylvania |
| Authorized Official Name and Position | Charles E D'auria (PRESIDENT) |
| Authorized Official Contact | 7249810823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph J. Conti D.o., Ltd. 480 N Kerrwood Dr Suite 102 Hermitage PA 16148-5212 Ph: (724) 981-0823 | Joseph J. Conti D.o., Ltd. 480 N Kerrwood Dr Suite 102 Hermitage PA 16148-5212 Ph: (724) 981-0823 |
| NPI Number | 1750343448 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1850342833 |
|---|---|
| Medicare Enrollment ID | O20050208000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750343448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Heather J Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215990585 PECOS PAC ID: 2163475591 Enrollment ID: I20050225000501 |
| Provider Name | Charles E D'auria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558324814 PECOS PAC ID: 7810967833 Enrollment ID: I20100723000454 |
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