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808 Pleasantview Dr Ephrata PA 17522-1644 | |
(717) 733-6518 | |
(717) 733-8613 |
Full Name | |
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Speciality | Internal Medicine |
Location | 808 Pleasantview Dr, Ephrata, Pennsylvania |
Authorized Official Name and Position | Cynthia Malizia (VP NORTHERN LANC CO MEDICAL GROUP) |
Authorized Official Contact | 7177382280 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 398 Brownstown PA 17508-0398 Ph: (717) 859-2038 | 808 Pleasantview Dr Ephrata PA 17522-1644 Ph: (717) 733-6518 |
NPI Number | 1053329979 |
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Provider Enumeration Date | 08/04/2006 |
Last Update Date | 02/25/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053329979 | NPI | - | NPPES |
1013977730015 | Medicaid | PA | |
1746271 | Other | PA | BLUE SHIELD |
DD6938 | Other | PA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |