MEDICARE: DAWN E CEKOVSKY PA-C.

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	363AM0700X	Medical Physician Assistant	MA002065	PA

General Provider Information

NPI Number	:	1346235678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN E CEKOVSKY PA-C.

Provider Business Mailing Address
First Line	:	83 HILLCREST DR
Second Line	:
City	:	PUNXSUTAWNEY
State	:	PA
Zip	:	15767-2605
Country	:	US
Telephone Number	:	814-938-3310
Fax Number	:	814-938-6804

Provider Business Practice Location Address
First Line	:	83 HILLCREST DR
Second Line	:
City	:	PUNXSUTAWNEY
State	:	PA
Zip	:	15767-2605
Country	:	US
Telephone Number	:	814-938-3310
Fax Number	:	814-938-6804

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

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	01/11/2010

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