Healthcare Provider Details

I. General information

NPI: 1215200928
Provider Name (Legal Business Name): WESTMORELAND COUNTY CARDIOVASCULAR ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2012
Last Update Date: 02/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 S WASHINGTON AVE
GREENSBURG PA
15601-2768
US

IV. Provider business mailing address

44 S WASHINGTON AVE
GREENSBURG PA
15601-2768
US

V. Phone/Fax

Practice location:
  • Phone: 724-836-1862
  • Fax: 724-836-7477
Mailing address:
  • Phone: 724-836-1862
  • Fax: 724-836-7477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD041542L
License Number StatePA

VIII. Authorized Official

Name: DR. LAWRENCE A DENINO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 724-836-1862