| Liberty Street Internal Medicine Pc | |
|
765 Liberty St Suite 301 Meadville PA 16335-2566 | |
| (814) 333-1081 | |
| (814) 724-8343 |
| Full Name | Liberty Street Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 765 Liberty St, Meadville, Pennsylvania |
| Authorized Official Name and Position | Cynthia A Yeager (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 8143363506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Street Internal Medicine Pc 765 Liberty St Suite 301 Meadville PA 16335-2566 Ph: (814) 336-3506 | Liberty Street Internal Medicine Pc 765 Liberty St Suite 301 Meadville PA 16335-2566 Ph: (814) 333-1081 |
| NPI Number | 1952618696 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 09/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952618696 | NPI | - | NPPES |
| MD440871 | Other | PA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD440871 (Pennsylvania) | Primary |
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