Provider Demographics
NPI:1144392267
Name:WESTMORELAND OBSTETRICS AND GYNECOLOGY, INC.
Entity Type:Organization
Organization Name:WESTMORELAND OBSTETRICS AND GYNECOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ADUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-832-9190
Mailing Address - Street 1:530 SOUTH ST
Mailing Address - Street 2:SUITE G-20
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2775
Mailing Address - Country:US
Mailing Address - Phone:724-832-9190
Mailing Address - Fax:724-832-8705
Practice Address - Street 1:530 SOUTH ST
Practice Address - Street 2:SUITE G-20
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2775
Practice Address - Country:US
Practice Address - Phone:724-832-9190
Practice Address - Fax:724-832-8705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011508710004Medicaid
PA087027OtherPTAN
PA0011508710004Medicaid