Healthcare Provider Details

I. General information

NPI: 1336148097
Provider Name (Legal Business Name): DAVID M. MURELLO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 09/15/2022
Certification Date: 09/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 CHERRY TREE LN
UNIONTOWN PA
15401-8947
US

IV. Provider business mailing address

650 CHERRY TREE LN
UNIONTOWN PA
15401-8947
US

V. Phone/Fax

Practice location:
  • Phone: 724-439-8100
  • Fax: 724-439-6217
Mailing address:
  • Phone: 724-439-8100
  • Fax: 724-439-6217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD021582-E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License NumberMD021582-E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: