PRIMARY CARE GROUP 12, INC.,

CHARLEROI, PA
NPI1881903532
Doing Business AsDERIENZO FAMILY PRACTICE
Entity TypeOrganization
Authorized ContactUMBERTO A. DERIENZO
President
724-483-3581
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  MD053835L)
Enumeration Date2010-09-29
Last Update Date2011-03-21
Business Address
PRIMARY CARE GROUP 12, INC.,
17 ARENTZEN BLVD SUITE 101
CHARLEROI, PA 15022-1085
Phone number: 724-483-3581
Mailing Address
PRIMARY CARE GROUP 12, INC.,
17 ARENTZEN BLVD SUITE 101
CHARLEROI, PA 15022-1085
Phone number: 724-483-3581
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