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NPI Code Detail

MEDICARE: GEORGEVICH & ASSOCIATES LLC

MEDICARE: GEORGEVICH & ASSOCIATES LLC
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
12086S0129XVascular Surgery PhysicianMD027326EPA

General Provider Information

NPI Number : 1588715643
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEORGEVICH & ASSOCIATES LLC
Provider Business Mailing Address
First Line : 1800 PINE HOLLOW RD
Second Line : SUTIE2B
City : MC KEES ROCKS
State : PA
Zip : 15136-1516
Country : US
Telephone Number : 412-771-2121
Fax Number : 412-771-1855
Provider Business Practice Location Address
First Line : 1800 PINE HOLLOW RD
Second Line : SUTIE2B
City : MC KEES ROCKS
State : PA
Zip : 15136-1516
Country : US
Telephone Number : 412-771-2121
Fax Number : 412-771-1855
Authorized Official
Title or Position : PRESIDENT
Name : PHILIP G GEORGEVICH
Credential : M.D.
Telephone Number : 41207712121
Provider Enumeration Date : 01/16/2007
Last Update Date : 03/12/2010

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Directions to “GEORGEVICH & ASSOCIATES LLC ” Practice Location

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