| Rose Medical Asssociates Pc | |
|
15 South 8th Street Suite 201 Indiana PA 15701 | |
| (724) 349-8311 | |
| (724) 349-8311 |
| Full Name | Rose Medical Asssociates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15 South 8th Street, Indiana, Pennsylvania |
| Authorized Official Name and Position | Bernard L Coppolo (PRESIDENT) |
| Authorized Official Contact | 7243498311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Medical Asssociates Pc 15 South 8th Street Suite 201 Indiana PA 15701 Ph: (724) 349-8311 | Rose Medical Asssociates Pc 15 South 8th Street Suite 201 Indiana PA 15701 Ph: (724) 349-8311 |
| NPI Number | 1194796912 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8123015567 |
|---|---|
| Medicare Enrollment ID | O20040428000635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194796912 | NPI | - | NPPES |
| 0012162760003 | Other | PA | MA |
| 0010119580003 | Other | PA | MA |
| 838362 | Other | BS | |
| 0012170590003 | Other | PA | MA |
| 0075777490003 | Other | PA | MA |
| Provider Name | Bernard L Coppolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497710727 PECOS PAC ID: 1658563895 Enrollment ID: I20101007000044 |
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