MEDICARE: DR. ALLISON FRANCIS VERENNA 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	MD440313	PA

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	875375	OTHER	PA	WPSO GROUP PTAN

General Provider Information

NPI Number	:	1770574352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLISON FRANCIS VERENNA MD

Provider Business Mailing Address
First Line	:	98 WILSON AVENUE
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-3335
Country	:	US
Telephone Number	:	724-938-7466
Fax Number	:	724-938-7470

Provider Business Practice Location Address
First Line	:	415 3RD ST
Second Line	:
City	:	CALIFORNIA
State	:	PA
Zip	:	15419-1102
Country	:	US
Telephone Number	:	724-938-7466
Fax Number	:	724-938-7470

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	09/19/2024

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