NPI 1003228172

UPMC Community Medicine INC

Organisation Family Medicine Physician Conneaut Lake, PA

Practice location

Address: 11065 State Highway 18 Suite 1, Conneaut Lake, PA 16316-3569
Phone: (814) 382-6550

Authorised official

Name: Mark Ehalt
Title: Sr.Director
Phone: (412) 647-0943

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Pennsylvania →

Registry record

NPI: 1003228172
Entity type: Organization
NPI issued: 23 May 2014
Record last updated: 23 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.