MEDICARE: PETER E MCNEIL MD

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	MD025479E	PA

General Provider Information

NPI Number	:	1700082203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETER E MCNEIL MD

Provider Business Mailing Address
First Line	:	240 S HICKORY ST
Second Line	:
City	:	MOUNT CARMEL
State	:	PA
Zip	:	17851-2121
Country	:	US
Telephone Number	:	570-339-1224
Fax Number	:	570-339-1841

Provider Business Practice Location Address
First Line	:	240 S HICKORY ST
Second Line	:
City	:	MOUNT CARMEL
State	:	PA
Zip	:	17851-2121
Country	:	US
Telephone Number	:	570-339-1224
Fax Number	:	570-339-1841

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	PETER MCNEIL
Credential	:	MD
Telephone Number	:	570-339-1224

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	08/22/2020

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