Provider Demographics
NPI:1922294313
Name:ALFRED J. POGGI, D.O.,LTD.
Entity Type:Organization
Organization Name:ALFRED J. POGGI, D.O.,LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:POGGI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:814-443-3637
Mailing Address - Street 1:277 NEILAN RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-8733
Mailing Address - Country:US
Mailing Address - Phone:814-443-3637
Mailing Address - Fax:814-445-9330
Practice Address - Street 1:277 NEILAN RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-8733
Practice Address - Country:US
Practice Address - Phone:814-443-3637
Practice Address - Fax:814-445-9330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty