Healthcare Provider Details

I. General information

NPI: 1912099193
Provider Name (Legal Business Name): PEDIATRICS OF WESTMORELAND, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 SOUTH ST SUITE 220
GREENSBURG PA
15601-2775
US

IV. Provider business mailing address

530 SOUTH ST SUITE 220
GREENSBURG PA
15601-2775
US

V. Phone/Fax

Practice location:
  • Phone: 724-832-7045
  • Fax: 724-832-9165
Mailing address:
  • Phone: 724-832-7045
  • Fax: 724-832-9165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: THAER ALMALOUF
Title or Position: PRESIDENT
Credential: M.D.
Phone: 724-832-7045