Healthcare Provider Details

I. General information

NPI: 1205187598
Provider Name (Legal Business Name): STEEL VALLEY EMERGENCY PHYSICIANS TWIN CITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2012
Last Update Date: 09/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 N 1ST ST
DENNISON OH
44621-1003
US

IV. Provider business mailing address

PO BOX 644966
PITTSBURGH PA
15264-4966
US

V. Phone/Fax

Practice location:
  • Phone: 740-922-2800
  • Fax:
Mailing address:
  • Phone: 412-457-0175
  • Fax: 412-457-0179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID J CERCONE
Title or Position: PRESIDENT
Credential: DO
Phone: 740-264-8067