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NPI Code Detail

MEDICARE: DR. PETER EDWARD MCNEIL M.D.

MEDICARE:  DR. PETER EDWARD MCNEIL  M.D.
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
1207Q00000XFamily Medicine PhysicianMD025479EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881667319
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER EDWARD MCNEIL M.D.
Provider Business Mailing Address
First Line : 240 S HICKORY ST
Second Line :
City : MT CARMEL
State : PA
Zip : 17851-2121
Country : US
Telephone Number : 570-339-1224
Fax Number : 570-339-1841
Provider Business Practice Location Address
First Line : 240 S HICKORY ST
Second Line :
City : MT CARMEL
State : PA
Zip : 17851-2121
Country : US
Telephone Number : 570-339-1224
Fax Number : 570-339-1841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 12/03/2007

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Directions to “ DR. PETER EDWARD MCNEIL M.D.” Practice Location

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