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NPI Code Detail

MEDICARE: MCFADDEN FAMILY PRACTICE PC

MEDICARE: MCFADDEN FAMILY PRACTICE PC
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 Physician

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 : 1942308747
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCFADDEN FAMILY PRACTICE PC
Provider Business Mailing Address
First Line : 62 GREENBRIAR DR
Second Line : SUITE 1
City : LEECHBURG
State : PA
Zip : 15656-8209
Country : US
Telephone Number : 724-845-7765
Fax Number : 724-845-8418
Provider Business Practice Location Address
First Line : 62 GREENBRIAR DR
Second Line : SUITE 1
City : LEECHBURG
State : PA
Zip : 15656-8209
Country : US
Telephone Number : 724-845-7765
Fax Number : 724-845-8418
Authorized Official
Title or Position : PRESIDENT
Name : DR. DEBRA MCFADDEN
Credential : M.D.
Telephone Number : 724-845-7765
Provider Enumeration Date : 09/20/2006
Last Update Date : 09/17/2010

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Directions to “MCFADDEN FAMILY PRACTICE PC ” Practice Location

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