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NPI Code Detail

MEDICARE: JOHN NOTARO MD

MEDICARE: JOHN NOTARO 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
1207Q00000XFamily Medicine PhysicianMD029324LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000017045OTHERPAHIGHMARK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871596965
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN NOTARO MD
Provider Business Mailing Address
First Line : 2349 MILL ST
Second Line :
City : ALIQUIPPA
State : PA
Zip : 15001-2219
Country : US
Telephone Number : 724-375-5401
Fax Number : 724-375-6332
Provider Business Practice Location Address
First Line : 2349 MILL ST
Second Line :
City : ALIQUIPPA
State : PA
Zip : 15001-2219
Country : US
Telephone Number : 724-375-5401
Fax Number : 724-375-6332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 09/11/2007

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