Provider Demographics
NPI:1962682021
Name:JOHN T COMERCIJR MD PC
Entity Type:Organization
Organization Name:JOHN T COMERCIJR MD PC
Other - Org Name:SOUTHWESTERN GYNECOLOGIC ONCOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:COMERCI
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:412-266-6088
Mailing Address - Street 1:307 THORN ST
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1405
Mailing Address - Country:US
Mailing Address - Phone:412-266-6088
Mailing Address - Fax:
Practice Address - Street 1:307 THORN ST
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1405
Practice Address - Country:US
Practice Address - Phone:412-266-6088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068022L207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty