| NAME |
MICHAEL A. MARZANO VA OPC |
| STATE |
PENNSYLVANIA |
| STREET ADDR. 1 |
295 N. KERRWOOD DRIVE |
| CITY |
HERMITAGE |
| ZIP |
16148-5207 |
| OFFICIAL VA NAME |
MICHAEL A. MARZANO VA OPC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
HERMITAGE VA CLINIC |
| ST. ADDR. 1 (MAILING) |
325 New Caslte Road |
| CITY (MAILING) |
Butler |
| STATE (MAILING) |
PENNSYLVANIA |
| ZIP (MAILING) |
16001 |
| EFFECTIVE DATE/TIME |
-
- 2007-03-26 00:00:00
- STATUS: ACTIVE
- NPI: 1912952334
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
529GA |
| IDENTIFIER |
-
- CODING SYSTEM: VASTANUM
- ID: 529GA
|
