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480 Hafer Rd Lewisburg PA 17837-7413 | |
| (570) 524-3884 | |
| (570) 768-4779 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 480 Hafer Rd, Lewisburg, Pennsylvania |
| Authorized Official Name and Position | Mike Williams (SR. CONTRACTING MANAGER) |
| Authorized Official Contact | 4843383731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
106 W Main St Norristown PA 19401-4716 Ph: (610) 239-9600 | 480 Hafer Rd Lewisburg PA 17837-7413 Ph: (570) 524-3884 |
| NPI Number | 1487001749 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487001749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 607058 (Pennsylvania) | Primary |
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