Blair Medical Associates - Bellwood

NPI #1407061898 in Bellwood, Pennsylvania

Provider Information

NPI Number
1407061898
Entity Type
Organization
Organization Name
Blair Medical Associates - Bellwood
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
May 11, 2007
Last Updated
Oct 22, 2012

Practice Location

Address
503 MAIN ST
ZIP Code
16617-1909
Phone
(814) 742-7001

Authorized Official

Name
KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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