| Lvpg Family Medicine - Brodheadsville | |
|
120 Burrus Blvd Brodheadsville PA 18322-7812 | |
| (570) 420-6300 | |
| (570) 402-2920 |
| Full Name | Lvpg Family Medicine - Brodheadsville |
|---|---|
| Speciality | Family Medicine |
| Location | 120 Burrus Blvd, Brodheadsville, Pennsylvania |
| Authorized Official Name and Position | James Demopolous (VP CFO) |
| Authorized Official Contact | 4848844500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lvpg Family Medicine - Brodheadsville Po Box 783311 Philadelphia PA 19178-3311 Ph: (484) 884-4500 | Lvpg Family Medicine - Brodheadsville 120 Burrus Blvd Brodheadsville PA 18322-7812 Ph: (570) 420-6300 |
| NPI Number | 1477625879 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 09/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477625879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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