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>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1437185212

Individual Registrant:
Gender: M
Not Sole Proprietor

Location and contact information for practice:
Tel: 717-812-2501  Fax: 717-812-2510

Contact information for business:
3421 CONCORD RD  YORK, PA 17402-9001 US
Tel: 717-812-2501  Fax: 717-812-2510

Registration Information:
NPI: 1437185212
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine

Legacy codes, insurance codes and state license numbers:



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