Pennsylvania Institute Of Endocrinology Llc | |
1575 Highlands Dr Suite 206 Lititz PA 17543-7507 | |
(717) 568-8886 | |
(717) 627-2727 |
Full Name | Pennsylvania Institute Of Endocrinology Llc |
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Speciality | Internal Medicine |
Location | 1575 Highlands Dr, Lititz, Pennsylvania |
Authorized Official Name and Position | Tipu Faiz M. Saleem (OWNER) |
Authorized Official Contact | 7175688886 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pennsylvania Institute Of Endocrinology Llc 1575 Highlands Dr Suite 206 Lititz PA 17543-7507 Ph: (717) 568-8886 | Pennsylvania Institute Of Endocrinology Llc 1575 Highlands Dr Suite 206 Lititz PA 17543-7507 Ph: (717) 568-8886 |
NPI Number | 1003193046 |
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Provider Enumeration Date | 11/04/2011 |
Last Update Date | 09/28/2016 |
Medicare PECOS PAC ID | 6204002298 |
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Medicare Enrollment ID | O20111221000523 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003193046 | NPI | - | NPPES |
102656403-0001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (Pennsylvania) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (Pennsylvania) | Primary |
Provider Name | Tipu Faiz Muhammad Saleem |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1215934609 PECOS PAC ID: 8325950959 Enrollment ID: I20031103000426 |
Provider Name | Saba Faiz |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1790994622 PECOS PAC ID: 5193881613 Enrollment ID: I20111227000155 |