| Custom Care Medical, Llc | |
|
463 E Main Ave Myerstown PA 17067-2226 | |
| (717) 272-4967 | |
| (717) 564-3135 |
| Full Name | Custom Care Medical, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 463 E Main Ave, Myerstown, Pennsylvania |
| Authorized Official Name and Position | Eva Kunz (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 7175640564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Care Medical, Llc 463 E Main Ave Myerstown PA 17067-2226 Ph: (717) 272-4967 | Custom Care Medical, Llc 463 E Main Ave Myerstown PA 17067-2226 Ph: (717) 272-4967 |
| NPI Number | 1710022678 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 06/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710022678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | BL5564340 (Pennsylvania) | Primary |
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