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Contact Information

MCMURRAY PEDIATRIC AND ADOLESCENT MEDICINE
6000 WATERDAM PLAZA DR
SUITE 280
MCMURRAY, PA15317-5413
 Phone: 724-941-8199
 Fax: 724-942-6423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MCMURRAY PEDIATRIC AND ADOLESCENT MEDICINE

NPI Number 1205879541
LBN Legal business name MCMURRAY PEDIATRIC AND ADOLESCENT MEDICINE
Authorized official TONJA DICAMILLO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2006
Last updated 10/02/2007 - About 19 years ago
Identifiers
PA License # MD419996
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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