Provider Demographics
NPI:1467679787
Name:AMELIA ARIANNE PARE MD PC
Entity Type:Organization
Organization Name:AMELIA ARIANNE PARE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:ARIANNE
Authorized Official - Last Name:PARE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-941-8838
Mailing Address - Street 1:123 HIDDEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2603
Mailing Address - Country:US
Mailing Address - Phone:724-941-8838
Mailing Address - Fax:724-941-8878
Practice Address - Street 1:123 HIDDEN VALLEY RD
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2603
Practice Address - Country:US
Practice Address - Phone:724-941-8838
Practice Address - Fax:724-941-8878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068364L2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH04049Medicare UPIN
PA031501Medicare PIN