Provider Demographics
NPI:1508133745
Name:PRIMARY CARE GROUP # 6 INC
Entity Type:Organization
Organization Name:PRIMARY CARE GROUP # 6 INC
Other - Org Name:EDWARD W. JEW III MD INTERNAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:JEW
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:412-267-6307
Mailing Address - Street 1:575 COAL VALLEY RD
Mailing Address - Street 2:SUITE 502
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3730
Mailing Address - Country:US
Mailing Address - Phone:412-267-6307
Mailing Address - Fax:412-267-6209
Practice Address - Street 1:575 COAL VALLEY RD
Practice Address - Street 2:SUITE 502
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3730
Practice Address - Country:US
Practice Address - Phone:412-267-6307
Practice Address - Fax:412-267-6209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038862E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty