Basic Information
| Provider Information | |||||||||
| NPI: | 1205187598 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STEEL VALLEY EMERGENCY PHYSICIANS TWIN CITY INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 644966 | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152644966 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4124570175 | ||||||||
| FaxNumber: | 4124570179 | ||||||||
| Practice Location | |||||||||
| Address1: | 819 N 1ST ST | ||||||||
| Address2: | |||||||||
| City: | DENNISON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 446211003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7409222800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2012 | ||||||||
| LastUpdateDate: | 09/26/2012 | ||||||||
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| AuthorizedOfficialLastName: | CERCONE | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7402648067 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Hospitalist | 207P00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.