| Medicaid Physicians At 555 N. Duke | |
|
555 N Duke St Lancaster PA 17602-2250 | |
| (717) 544-5511 | |
| Not Available |
| Full Name | Medicaid Physicians At 555 N. Duke |
|---|---|
| Speciality | Family Medicine |
| Location | 555 N Duke St, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Thomas R Foley (PRESIDENT PHYSICIAN SERVICES) |
| Authorized Official Contact | 7178694600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicaid Physicians At 555 N. Duke 555 N Duke St Lancaster PA 17602-2250 Ph: (717) 544-5511 | Medicaid Physicians At 555 N. Duke 555 N Duke St Lancaster PA 17602-2250 Ph: (717) 544-5511 |
| NPI Number | 1538282009 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 06/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538282009 | NPI | - | NPPES |
| 100771175 0005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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