Gerald R Medwick
Hematology & Oncology
1000 Dutch Ridge Rd
Beaver
, Pennsylvania 15009-9727
Gerald R Medwick
Hematology & Oncology
1000 Dutch Ridge Rd
Beaver
, Pennsylvania 15009-9727
(724) 773-4673
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Gerald R Medwick
- 1000 Dutch Ridge Rd
- Beaver, PA
- Zip : 15009-9727
- Fax : (724) 773-4673
- Phone : (724) 773-7616
Second Address
- Gerald R Medwick
- 1000 Dutch Ridge Rd
- Beaver, PA
- Zip : 15009-9727
- Fax : (724) 773-4673
- Phone : (724) 773-7616
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | OS004695L | PA |
National Provider Identifier
| NPI | 1053382747 |
|---|---|
| Provider Name | Gerald R Medwick |
| First Address | Beaver, PA 15009-9727 |
| Second Address | Beaver, PA 15009-9727 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2006 |
| Last Update Date | 18/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001090657 | (05) | PA |
| A83056 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.