MEDICARE: DR. JAMES N PRIOLA D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS007719L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306879838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES N PRIOLA D.O.

Provider Business Mailing Address
First Line	:	99 BUSS RD
Second Line	:
City	:	ALIQUIPPA
State	:	PA
Zip	:	15001-4749
Country	:	US
Telephone Number	:	724-378-6640
Fax Number	:	724-770-7950

Provider Business Practice Location Address
First Line	:	99 BUSS RD
Second Line	:
City	:	ALIQUIPPA
State	:	PA
Zip	:	15001-4749
Country	:	US
Telephone Number	:	724-378-6640
Fax Number	:	724-378-6619

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	09/16/2015

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