Healthcare Provider Details
I. General information
NPI: 1982781928
Provider Name (Legal Business Name): LOFFREDA AND MCNEILL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
750 E BEAU ST
WASHINGTON PA
15301-6661
US
IV. Provider business mailing address
1000 DUTCH RIDGE RD
BEAVER PA
15009-9727
US
V. Phone/Fax
- Phone: 724-228-7477
- Fax:
- Phone: 724-773-4621
- Fax: 724-773-4696
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CLAUDIO
LOFFREDA-MANCINELLI
Title or Position: PRESIDENT
Credential: M.D
Phone: 724-773-4621