| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1748 6th Ave, York, Pennsylvania |
| Authorized Official Name and Position | Linda A Neubauer (MGR OF FINANANCE AND CODING) |
| Authorized Official Contact | 7178152557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1420 6th Ave Suite 4 York PA 17403-2620 Ph: (717) 815-2557 | 1748 6th Ave York PA 17403-2643 Ph: (717) 843-0637 |
| NPI Number | 1235151093 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 04/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235151093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS002798L (Pennsylvania) | Primary |
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