| Michael R. Gildea Pc | |
|
88 N Bull Run Xing Suite 6 Lewisburg PA 17837-6725 | |
| (570) 522-8330 | |
| Not Available |
| Full Name | Michael R. Gildea Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 88 N Bull Run Xing, Lewisburg, Pennsylvania |
| Authorized Official Name and Position | Michael Richard Gildea (OWNER/THERAPIST) |
| Authorized Official Contact | 5705228330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R. Gildea Pc 88 N Bull Run Xing Suite 6 Lewisburg PA 17837-6725 Ph: (570) 522-8330 | Michael R. Gildea Pc 88 N Bull Run Xing Suite 6 Lewisburg PA 17837-6725 Ph: (570) 522-8330 |
| NPI Number | 1023200730 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 08/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023200730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 607049 (Pennsylvania) | Primary |
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