Healthcare Provider Details

I. General information

NPI: 1023036902
Provider Name (Legal Business Name): ASSOCIATES IN INTERNAL MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 12/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E 3RD AVE
TARENTUM PA
15084-1840
US

IV. Provider business mailing address

PO BOX 155
CHESWICK PA
15024-0155
US

V. Phone/Fax

Practice location:
  • Phone: 724-224-0700
  • Fax: 724-224-0823
Mailing address:
  • Phone: 412-826-1065
  • Fax: 412-826-1491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierCF3471
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerRR MEDICARE
# 2
Identifier0006392870001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: DR. MARGARET ELIZABETH MEALS
Title or Position: PHYSICIAN
Credential: MD
Phone: 724-224-0700