MEDICARE: ANGELA COMO P.A.

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	MA-050725L	PA

General Provider Information

NPI Number	:	1518943752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA COMO P.A.

Provider Business Mailing Address
First Line	:	PO BOX 1549
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16003-1549
Country	:	US
Telephone Number	:	724-968-5330
Fax Number	:	724-431-2951

Provider Business Practice Location Address
First Line	:	129 ONEIDA VALLEY RD STE 310
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-2252
Country	:	US
Telephone Number	:	724-968-5330
Fax Number	:	724-431-2951

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

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	12/21/2018

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Directions to “ ANGELA COMO P.A.” Practice Location

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