Fairfield Family Practice Pc | |
1300 Sheridan Street Suite 1 Williamsport PA 17701 | |
(570) 601-6202 | |
(570) 368-2064 |
Full Name | Fairfield Family Practice Pc |
---|---|
Speciality | Family Medicine |
Location | 1300 Sheridan Street, Williamsport, Pennsylvania |
Authorized Official Name and Position | John A Pellegrino (PHYSICIAN) |
Authorized Official Contact | 5703682002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fairfield Family Practice Pc 1300 Sheridan Street Suite 1 Williamsport PA 17701 Ph: (570) 601-6202 | Fairfield Family Practice Pc 1300 Sheridan Street Suite 1 Williamsport PA 17701 Ph: (570) 601-6202 |
NPI Number | 1952409898 |
---|---|
Provider Enumeration Date | 09/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952409898 | NPI | - | NPPES |
0075301990002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DS008076L (Pennsylvania) | Primary |
Geisinger-hm Joint Venture, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1824 E 3rd St, Williamsport, PA 17701 Phone: 570-601-2200 Fax: 570-601-2202 | |
Open Arms Internal Medicine & Pediatrics, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3155 Lycoming Creek Rd, Williamsport, PA 17701 Phone: 570-244-1877 | |