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Contact Information

PULMONARY AND SLEEP MEDICINE OF CENTRAL PA PC
145 HOSPITAL AVE
STE 101
DUBOIS, PA15801
 Phone: 814-375-5305
 Fax: 814-375-5307
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PULMONARY AND SLEEP MEDICINE OF CENTRAL PA PC

NPI Number 1720197890
LBN Legal business name PULMONARY AND SLEEP MEDICINE OF CENTRAL PA PC
Authorized official ANGELO ILLUZZI - (PRESIDENT OF CORPORATION)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 03/25/2008 - About 18 years ago
Identifiers
PA Medicaid 1013140640002
Other 1695 GEISINGER
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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