| St. Catherine Physician Services Of Pennsylvania, Llc | |
|
101 Broad St Ashland PA 17921-2147 | |
| (570) 875-6835 | |
| Not Available |
| Full Name | St. Catherine Physician Services Of Pennsylvania, Llc |
|---|---|
| Speciality | Anesthesiology |
| Location | 101 Broad St, Ashland, Pennsylvania |
| Authorized Official Name and Position | Robert Lane (CHAIRMAN) |
| Authorized Official Contact | 5708755835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Catherine Physician Services Of Pennsylvania, Llc 101 Broad St Ashland PA 17921-2147 Ph: (570) 875-6835 | St. Catherine Physician Services Of Pennsylvania, Llc 101 Broad St Ashland PA 17921-2147 Ph: (570) 875-6835 |
| NPI Number | 1003907999 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 02/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003907999 | NPI | - | NPPES |
| 1019269700001 | Medicaid | PA |
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