DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EAST SUBURBAN SPORTS MEDICINE CENTER, LTD.

MEDICARE: EAST SUBURBAN SPORTS MEDICINE CENTER, LTD.
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
1174400000XSpecialist

General Provider Information

NPI Number : 1750384988
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST SUBURBAN SPORTS MEDICINE CENTER, LTD.
Provider Business Mailing Address
First Line : 4115 WILLIAM PENN HWY
Second Line :
City : MURRYSVILLE
State : PA
Zip : 15668-1887
Country : US
Telephone Number : 724-327-7099
Fax Number : 724-327-0173
Provider Business Practice Location Address
First Line : 4115 WILLIAM PENN HWY
Second Line :
City : MURRYSVILLE
State : PA
Zip : 15668-1887
Country : US
Telephone Number : 724-327-7099
Fax Number : 724-327-0173
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. JOHN E. BONAROTI
Credential : PT, ATC
Telephone Number : 724-327-7099
Provider Enumeration Date : 05/23/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1215905583 — JOHN E BONAROTI PT
Practice Location Address:
4115 WILLIAM PENN HWY
MURRYSVILLE, PA
15668-1887
Practice Phone: 412-856-8060
Practice Fax: 724-327-0173
1497723787 — DONALD M VARGO P.T.
Practice Location Address:
4115 WILLIAM PENN HWY
MURRYSVILLE, PA
15668-1887
Practice Phone: 724-327-7099
Practice Fax: 724-327-0173
1649249780 — JENNIFER L MARCH MPT
Practice Location Address:
4115 WILLIAM PENN HWY
MURRYSVILLE, PA
15668-1887
Practice Phone: 412-856-8060
Practice Fax: 724-327-0173
1790754836 — MEGAN F KORCZYNSKI M.P.T.
Practice Location Address:
4115 WILLIAM PENN HWY
MURRYSVILLE, PA
15668-1887
Practice Phone: 724-327-7099
Practice Fax: 724-327-0173
1356364848 — MICHAEL L ALLEN MPT
Practice Location Address:
4115 WILLIAM PENN HWY
MURRYSVILLE, PA
15668-1887
Practice Phone: 724-327-7099
Practice Fax: 724-327-0173
1912060039 — MR. LEE K WOLFSON M.ED.
Practice Location Address:
4115 WILLIAM PENN HWY STE 201
MURRYSVILLE, PA
15668-1887
Practice Phone: 412-897-2827
Practice Fax:

Directions to “EAST SUBURBAN SPORTS MEDICINE CENTER, LTD. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.