Healthcare Provider Details

I. General information

NPI: 1033428131
Provider Name (Legal Business Name): ADAM W TURINSKY PA -C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2010
Last Update Date: 09/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 S PLEASANT AVE
SOMERSET PA
15501-2262
US

IV. Provider business mailing address

329 S PLEASANT AVE
SOMERSET PA
15501-2262
US

V. Phone/Fax

Practice location:
  • Phone: 814-445-3575
  • Fax: 814-445-8039
Mailing address:
  • Phone: 814-445-3575
  • Fax: 814-445-8039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA054423
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: