MEDICARE: ARNUMENTARIUM MEDICAL PRACTICE INC

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	207R00000X	Internal Medicine Physician

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730946864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARNUMENTARIUM MEDICAL PRACTICE INC

Provider Business Mailing Address
First Line	:	2025 PA AVE E
Second Line	:
City	:	WARREN
State	:	PA
Zip	:	16365-3229
Country	:	US
Telephone Number	:	814-757-6505
Fax Number	:	814-757-4310

Provider Business Practice Location Address
First Line	:	1585 MARKET ST
Second Line	:
City	:	WARREN
State	:	PA
Zip	:	16365-1225
Country	:	US
Telephone Number	:	814-757-6505
Fax Number	:	814-757-4310

Authorized Official
Title or Position	:	OWNER
Name	:	DIEN VIET LE
Credential	:	MD
Telephone Number	:	814-757-6505

Provider Enumeration Date	:	03/05/2024
Last Update Date	:	06/11/2026

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Directions to “ARNUMENTARIUM MEDICAL PRACTICE INC ” Practice Location

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