Deactivated NPI 1144213745 Deactivated / Inactive NPI Male Practitioner

Dr. Sanatkumar C Shroff , MD

Internal Medicine • Perryopolis, PA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sanatkumar Shroff has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2005

NPI Deactivation Date March 27, 2006

Total Practice Duration ~24 Years of Practice (1982 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Sanatkumar Shroff, MD was a registered Internal Medicine practicing in Perryopolis, PA. Throughout an active medical career spanning 24 years, Dr. Shroff provided care at the practice location at 405 LIBERTY ST. until profile deactivation on 2006-03-27.

Dr. Shroff maintained professional affiliations with Phoenix Rehabilitation And Health Services Inc, Perryo Medical Center P C and did not directly accept Medicare assignment.

Historical Medicare Part B clinical services included insertion of needle into vein for collection of blood sample, established patient outpatient office visit, annual depression screening, 5 to. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

405 Liberty St.

Perryopolis, PA 154730646

Telephone 7247360443

Fax 7247360454

Associated Practice Facility / Clinic

🏢 Perryo Medical Center, P C Facility NPI 1982666863

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Perryopolis, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs Matches City Avg

City Avg: 44.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Perryopolis, PA (7609 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

37.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shroff (44 Years) 44 Yrs

Perryopolis Specialty Average (44.0 Years) 44.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	296	147	$12.00	$8.42
99213 Established patient office or other outpatient visit, typically 15 minutes	256	175	$120.61	$84.89
G0444 Annual depression screening, 5 to 15 minutes	166	166	$25.00	$17.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	159	159	$225.00	$126.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	107	$160.46	$119.10
G0136 Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes	154	145	$30.00	$18.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	101	$80.34	$54.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	85	22	$15.00	$1.00
G0008 Administration of influenza virus vaccine	81	80	$40.00	$29.63
90653 Vaccine for influenza for injection into muscle	73	73	$85.00	$78.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	24	$35.00	$13.76
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	16	$60.46	$21.37
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$250.00	$161.64
99495 Transitional care management services for problem of at least moderate complexity	17	16	$272.94	$200.06
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$290.00	$161.55
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$60.00	$13.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$95.00	$51.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	382	169	$11.70	$8.10
99213 Established patient office or other outpatient visit, typically 15 minutes	308	204	$120.51	$84.51
G0444 Annual depression screening, 5 to 15 minutes	181	181	$25.00	$17.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	178	36	$15.00	$1.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	132	$160.48	$116.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	170	170	$225.00	$124.86
G0008 Administration of influenza virus vaccine	93	93	$39.95	$29.13
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	90	90	$79.97	$74.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	74	$80.32	$54.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	72	44	$35.00	$13.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	67	40	$60.18	$19.82
99495 Transitional care management services for problem of at least moderate complexity	22	16	$260.00	$178.80
81003 Automated urinalysis test	21	16	$7.00	$2.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$290.00	$160.26
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	17	17	$60.00	$13.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$250.00	$159.96
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$95.00	$50.23
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	11	11	$30.00	$13.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	391	181	$10.00	$2.85
99213 Established patient office or other outpatient visit, typically 15 minutes	349	220	$120.28	$85.55
G0444 Annual depression screening, 5 to 15 minutes	214	214	$25.00	$17.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	207	207	$225.12	$125.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	188	41	$15.00	$1.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	117	$160.38	$122.04
G0008 Administration of influenza virus vaccine	126	125	$35.00	$27.85
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	122	121	$76.95	$69.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	86	$80.00	$54.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	77	45	$35.00	$13.21
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	70	38	$60.34	$19.20
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	34	12	$15.00	$1.71
81003 Automated urinalysis test	27	22	$7.00	$2.16
99495 Transitional care management services for problem of at least moderate complexity	26	24	$260.00	$193.22
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	20	20	$30.00	$24.54
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$250.00	$162.29
G0009 Administration of pneumococcal vaccine	16	16	$35.00	$28.53
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	16	16	$30.00	$24.16
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$168.13	$131.89
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$290.00	$163.02
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$95.00	$51.31
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$60.00	$13.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	390	184	$10.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	353	223	$120.07	$88.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	243	159	$159.60	$122.04
G0444 Annual depression screening, 5 to 15 minutes	196	196	$25.00	$17.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	195	195	$225.13	$129.28
G0008 Administration of influenza virus vaccine	108	108	$35.00	$16.25
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	103	103	$75.00	$65.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	73	38	$35.00	$13.86
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	60	32	$60.00	$21.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	58	$80.00	$53.33
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	44	44	$30.00	$25.78
99495 Transitional care management services for problem of at least moderate complexity	35	31	$254.86	$191.60
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	35	35	$30.00	$25.55
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	34	33	$30.00	$14.32
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$250.00	$165.81
J1030 Injection, methylprednisolone acetate, 40 mg	27	26	$25.00	$5.64
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$290.00	$164.35
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	16	$95.00	$51.86
G0009 Administration of pneumococcal vaccine	17	17	$35.00	$16.54
81003 Automated urinalysis test	17	15	$7.00	$2.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$151.18	$124.51
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$60.00	$13.60
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	14	14	$60.00	$14.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	371	234	$120.26	$72.38
36415 Insertion of needle into vein for collection of blood sample	330	176	$10.00	$2.78
G0444 Annual depression screening, 5 to 15 minutes	168	168	$25.00	$17.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	119	$150.23	$104.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	150	150	$225.00	$113.78
G0008 Administration of influenza virus vaccine	132	132	$35.00	$16.02
90653 Vaccine for influenza for injection into muscle	120	120	$68.33	$58.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	81	42	$35.00	$11.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	59	$80.00	$43.27
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	46	40	$27.61	$13.80
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	41	20	$60.88	$22.05
J1030 Injection, methylprednisolone acetate, 40 mg	33	30	$25.00	$5.63
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	32	32	$250.00	$170.03
99495 Transitional care management services for problem of at least moderate complexity	27	24	$228.33	$174.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	18	$95.00	$50.25
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	19	19	$60.00	$16.71
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$248.95	$165.15
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	16	16	$36.13	$23.65
20610 Aspiration and/or injection of fluid from large joint	13	11	$150.00	$54.84
G0009 Administration of pneumococcal vaccine	12	12	$35.00	$16.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$140.00	$117.92
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	12	12	$30.00	$26.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	475	262	$117.44	$71.81
36415 Insertion of needle into vein for collection of blood sample	411	194	$10.00	$2.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	161	$148.17	$104.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	153	153	$214.12	$111.86
G0444 Annual depression screening, 5 to 15 minutes	148	148	$24.36	$17.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	129	74	$35.00	$15.87
G0008 Administration of influenza virus vaccine	121	121	$35.00	$15.82
90653 Vaccine for influenza for injection into muscle	101	101	$64.95	$57.72
J1030 Injection, methylprednisolone acetate, 40 mg	82	65	$25.00	$5.86
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	43	12	$15.00	$1.76
99495 Transitional care management services for problem of at least moderate complexity	36	29	$225.00	$147.18
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	33	33	$235.15	$167.79
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$217.71	$162.75
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	22	22	$35.00	$25.06
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	19	$95.00	$48.32
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$60.00	$16.54
81003 Automated urinalysis test	20	14	$7.00	$2.44
G0009 Administration of pneumococcal vaccine	20	20	$35.00	$15.95
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$125.00	$109.59
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	16	16	$60.00	$16.58
69210 Removal of impacted ear wax	15	13	$65.00	$43.43
94010 Test to measure expiratory airflow and volume	13	13	$95.00	$34.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	509	253	$98.56	$70.01
36415 Insertion of needle into vein for collection of blood sample	400	194	$10.00	$2.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	238	159	$136.26	$103.82
G0008 Administration of influenza virus vaccine	136	134	$35.00	$19.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$160.00	$111.15
G0444 Annual depression screening, 5 to 15 minutes	119	119	$20.00	$17.13
90653 Vaccine for influenza for injection into muscle	112	112	$60.00	$53.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	91	52	$35.00	$19.27
J1030 Injection, methylprednisolone acetate, 40 mg	62	48	$22.58	$6.46
99495 Transitional care management services for problem of at least moderate complexity	45	39	$216.11	$159.08
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	37	37	$180.00	$166.85
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	24	$95.00	$51.07
81003 Automated urinalysis test	27	23	$7.00	$2.71
G0009 Administration of pneumococcal vaccine	24	24	$35.00	$19.57
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$125.00	$105.59
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$185.00	$161.87
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$60.00	$15.54
69210 Removal of impacted ear wax	19	19	$65.00	$47.55
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	15	15	$35.00	$22.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	435	234	$95.06	$69.82
36415 Insertion of needle into vein for collection of blood sample	333	170	$10.00	$2.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	145	$130.06	$102.77
G0008 Administration of influenza virus vaccine	115	114	$35.00	$23.67
90662 Influenza vaccine split virus, preservative free	102	101	$55.00	$47.52
G0444 Annual depression screening, 5 to 15 minutes	94	94	$20.00	$17.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	93	93	$160.00	$109.04
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	38	$35.00	$24.21
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	58	58	$180.00	$162.11
99495 Transitional care management services for problem of at least moderate complexity	44	36	$200.00	$157.29
J1030 Injection, methylprednisolone acetate, 40 mg	38	34	$15.00	$5.79
81003 Automated urinalysis test	35	28	$7.00	$3.02
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$185.00	$158.80
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	20	$95.00	$50.51
69210 Removal of impacted ear wax	20	18	$65.00	$47.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$150.00	$104.66
G0009 Administration of pneumococcal vaccine	13	13	$35.00	$24.05
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$125.00	$94.19
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$60.00	$16.40
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$60.00	$16.32

Medical Specialties & State Licenses

CMS Verified: 2020-04-22

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD049150L

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1432584 (PA)

Hospital & Practice Group Affiliations

Phoenix Rehabilitation And Health Services Inc

2000 Westinghouse Dr, Cranberry Twp, PA 160665238

Perryo Medical Center P C

405 Liberty St, Perryopolis, PA 154731830

Phone: 7247360443

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Sarah Balla

Nurse Practitioner - Family

NPI 1427653765

Alyssa Skowronek , CRNP

Nurse Practitioner - Family

NPI 1881314250

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location November 24, 2007

Registered at 405 LIBERTY ST., PERRYOPOLIS, PA 154730646 (Tel: 7247360443)

📍

Updated Business Mailing Address November 24, 2007

Registered at 405 LIBERTY ST., P.O.BOX 646, PERRYOPOLIS, PA 154730646 (Tel: 7247360443)

👤

Provider Name / Credentials Updated November 24, 2007

Recorded as SANATKUMAR SHROFF, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2007

Internal Medicine (License #MD049150L in PA)

🔄

NPI Profile Reactivated March 31, 2006

Record officially reactivated for active practice on March 31, 2006

⚠️

NPI Profile Deactivated March 27, 2006

Record deactivated on March 27, 2006

🟢

Initial NPI Registration & Enumeration August 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144213745

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2005

Last Update: April 22, 2020

Deactivation Date: March 27, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

405 Liberty St., P.o.box 646

Perryopolis, PA 154730646

Phone: 7247360443

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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