| Penn State Health Medical Group - Blue Ridge | |
|
1540 Alexandra Ln Harrisburg PA 17110-3656 | |
| (717) 798-3363 | |
| (717) 798-3364 |
| Full Name | Penn State Health Medical Group - Blue Ridge |
|---|---|
| Speciality | Internal Medicine |
| Location | 1540 Alexandra Ln, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Paula Tinch (CFO) |
| Authorized Official Contact | 7175311788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn State Health Medical Group - Blue Ridge Po Box 848 Hershey PA 17033-0848 Ph: (610) 208-8818 | Penn State Health Medical Group - Blue Ridge 1540 Alexandra Ln Harrisburg PA 17110-3656 Ph: (717) 798-3363 |
| NPI Number | 1174118566 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174118566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
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