| Mid Atlantic Psychiatric Physicians | |
|
822 Marietta Ave Ste 24 Lancaster PA 17603-3239 | |
| (717) 299-0582 | |
| (717) 394-8930 |
| Full Name | Mid Atlantic Psychiatric Physicians |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 822 Marietta Ave, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Kurtis D Jens (OWNER) |
| Authorized Official Contact | 7172990582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Atlantic Psychiatric Physicians 822 Marietta Ave Ste 24 Lancaster PA 17603-3239 Ph: (717) 299-0582 | Mid Atlantic Psychiatric Physicians 822 Marietta Ave Ste 24 Lancaster PA 17603-3239 Ph: (717) 299-0582 |
| NPI Number | 1932105756 |
|---|---|
| Provider Enumeration Date | 06/27/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932105756 | NPI | - | NPPES |
| 0073781550002 | Medicaid | PA | |
| 025752-E | Other | PA | MEDICAL LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD025752E (Pennsylvania) | Primary |
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