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1404 Baltimore St Suite 4 Hanover PA 17331-8698 | |
(717) 637-0470 | |
(717) 637-4987 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1404 Baltimore St, Hanover, Pennsylvania |
Authorized Official Name and Position | Marilyn A Olejnik (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7176373711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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300 Highland Avenue Hanover PA 17331 Ph: (717) 633-3511 | 1404 Baltimore St Suite 4 Hanover PA 17331-8698 Ph: (717) 637-0470 |
NPI Number | 1902860885 |
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Provider Enumeration Date | 04/17/2006 |
Last Update Date | 02/16/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902860885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Michael L. Peck, D.o., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3130 Grandview Rd, Hanover, PA 17331 Phone: 717-637-0839 Fax: 717-637-9314 | |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Kindig Lane, Plant 5, Hanover, PA 17331 Phone: 414-566-4000 | |