Excellence Diabetes Endocrinology & Metabolism Center Llc | |
1000 N Front St Suite 400 Wormleysburg PA 17043-1034 | |
(717) 695-6741 | |
(717) 695-6768 |
Full Name | Excellence Diabetes Endocrinology & Metabolism Center Llc |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 1000 N Front St, Wormleysburg, Pennsylvania |
Authorized Official Name and Position | Wilfred M Victorina (OWNER) |
Authorized Official Contact | 8594961803 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Excellence Diabetes Endocrinology & Metabolism Center Llc 1000 N Front St Suite 400 Wormleysburg PA 17043-1034 Ph: (717) 695-6741 | Excellence Diabetes Endocrinology & Metabolism Center Llc 1000 N Front St Suite 400 Wormleysburg PA 17043-1034 Ph: (717) 695-6741 |
NPI Number | 1295969913 |
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Provider Enumeration Date | 05/09/2009 |
Last Update Date | 06/26/2015 |
Identifier | Type | State | Issuer |
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1295969913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD432714 (Pennsylvania) | Primary |