Blue and Green Medical PC
NPI #1821206178 in Johnstown, Pennsylvania
Provider Information
- NPI Number
- 1821206178
- Entity Type
- Organization
- Organization Name
- Blue and Green Medical PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1743 GOUCHER STREET
- City
- Johnstown
- State
- Pennsylvania
- ZIP Code
- 15905
- Phone
- (814) 255-0102
Authorized Official
- Name
- DR. NELLY G TEPPER, MD
- Title
- OWNER
- Phone
- (814) 255-0102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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