MEDICARE: PENNSYLVANIA MEDICAL ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner	MD433178	PA

General Provider Information

NPI Number	:	1437382967
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENNSYLVANIA MEDICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	2366 STILLMAN RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-3565
Country	:	US
Telephone Number	:	215-855-5815
Fax Number	:

Provider Business Practice Location Address
First Line	:	2366 STILLMAN RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-3565
Country	:	US
Telephone Number	:	215-855-5815
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRUCE PISZEL
Credential	:	MD
Telephone Number	:	215-855-5815

Provider Enumeration Date	:	09/01/2009
Last Update Date	:	09/01/2009

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