NPI | 1548504079 |
---|---|
Doing Business As | EXCELA HEALTH CHESTNUT RIDGE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | RENEE M VARNEY Credentialing Coordinator 724-850-6933 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2012-11-21 |
Last Update Date | 2019-10-07 |