BLUE AND GREEN MEDICAL PC

JOHNSTOWN, PA
NPI1821206178
Entity TypeOrganization
Authorized ContactNELLY G TEPPER
Owner
814-255-0102
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: PA  MD059706L)
Enumeration Date2007-05-18
Last Update Date2020-08-22
Business Address
BLUE AND GREEN MEDICAL PC
1743 GOUCHER STREET
JOHNSTOWN, PA 15905
Phone number: 814-255-0102
Mailing Address
BLUE AND GREEN MEDICAL PC
PO BOX 819
JOHNSTOWN, PA 15907-0819
Phone number: 814-255-0102