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420 S 5th Ave West Reading PA 19611-2143 | |
(484) 628-0900 | |
(484) 628-0901 |
Full Name | |
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Speciality | Internal Medicine - Hematology & Oncology |
Location | 420 S 5th Ave, West Reading, Pennsylvania |
Authorized Official Name and Position | Gary Conner (CFO) |
Authorized Official Contact | 4846288181 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 13579 Reading PA 19612-3579 Ph: () - | 420 S 5th Ave West Reading PA 19611-2143 Ph: (484) 628-0900 |
NPI Number | 1205180726 |
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Provider Enumeration Date | 11/06/2012 |
Last Update Date | 10/02/2017 |
Identifier | Type | State | Issuer |
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1205180726 | NPI | - | NPPES |
072790 | Other | PA | MEDICARE PTAN |
Genesis House Reading Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 697 Reading Avenue, West Reading, PA 19611 Phone: 610-372-5741 Fax: 610-372-5849 |