Healthcare Provider Details
I. General information
NPI: 1144392267
Provider Name (Legal Business Name): WESTMORELAND OBSTETRICS AND GYNECOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/14/2006
Last Update Date: 06/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
530 SOUTH ST SUITE G-20
GREENSBURG PA
15601-2775
US
IV. Provider business mailing address
530 SOUTH ST SUITE G-20
GREENSBURG PA
15601-2775
US
V. Phone/Fax
- Phone: 724-832-9190
- Fax: 724-832-8705
- Phone: 724-832-9190
- Fax: 724-832-8705
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DIANE
L
ADUCCI
Title or Position: OFFICE MANAGER
Credential:
Phone: 724-832-9190