Pequea Valley Community Medicine | |
836 Houston Run Dr Suite 201 Gap PA 17527-9496 | |
(717) 442-9505 | |
(717) 442-9531 |
Full Name | Pequea Valley Community Medicine |
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Speciality | Internal Medicine |
Location | 836 Houston Run Dr, Gap, Pennsylvania |
Authorized Official Name and Position | Jessica R Lacorte (ADMINISTRATOR) |
Authorized Official Contact | 7174429505 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pequea Valley Community Medicine 836 Houston Run Dr Suite 201 Gap PA 17527-9496 Ph: (717) 442-9505 | Pequea Valley Community Medicine 836 Houston Run Dr Suite 201 Gap PA 17527-9496 Ph: (717) 442-9505 |
NPI Number | 1336486356 |
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Provider Enumeration Date | 01/10/2013 |
Last Update Date | 01/10/2013 |
Identifier | Type | State | Issuer |
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1336486356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |