| Ppcp Tylerdale | |
|
151 N Franklin St Washington PA 15301-4378 | |
| (724) 222-7240 | |
| (724) 229-7227 |
| Full Name | Ppcp Tylerdale |
|---|---|
| Speciality | Family Medicine |
| Location | 151 N Franklin St, Washington, Pennsylvania |
| Authorized Official Name and Position | Gregory R. Erhard (CEO) |
| Authorized Official Contact | 4125312902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ppcp Tylerdale 701 Technology Dr Ste 150 Canonsburg PA 15317-9531 Ph: (412) 531-2902 | Ppcp Tylerdale 151 N Franklin St Washington PA 15301-4378 Ph: (724) 222-7240 |
| NPI Number | 1912372525 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 03/23/2023 |
| Certification Date | 03/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912372525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
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