Pine Grove Internal Medicine, Inc. | |
1938 Security Dr York PA 17402-4727 | |
(717) 741-5600 | |
(717) 741-6750 |
Full Name | Pine Grove Internal Medicine, Inc. |
---|---|
Speciality | Internal Medicine |
Location | 1938 Security Dr, York, Pennsylvania |
Authorized Official Name and Position | Paula A Jacobus (PHYSICIAN) |
Authorized Official Contact | 7177415600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pine Grove Internal Medicine, Inc. 1938 Security Dr York PA 17402-4727 Ph: (717) 741-5600 | Pine Grove Internal Medicine, Inc. 1938 Security Dr York PA 17402-4727 Ph: (717) 741-5600 |
NPI Number | 1417059619 |
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Provider Enumeration Date | 09/01/2006 |
Last Update Date | 02/04/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417059619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD034489E (Pennsylvania) | Primary |
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