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699 Rural Ave Suite 306 Williamsport PA 17701-3246 | |
(570) 321-3228 | |
(570) 321-3238 |
Full Name | |
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Speciality | Internal Medicine |
Location | 699 Rural Ave, Williamsport, Pennsylvania |
Authorized Official Name and Position | Charles Santangelo (EXECUTIVE VP CFO) |
Authorized Official Contact | 5703213171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1201 Grampian Blvd Po Box 3127 Williamsport PA 17701-0127 Ph: () - | 699 Rural Ave Suite 306 Williamsport PA 17701-3246 Ph: (570) 321-3228 |
NPI Number | 1346428174 |
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Provider Enumeration Date | 02/04/2008 |
Last Update Date | 12/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346428174 | NPI | - | NPPES |
2010019 | Other | PA | HIGHMARK BLUE SHIELD |
0017300760166 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Geisinger-hm Joint Venture, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1824 E 3rd St, Williamsport, PA 17701 Phone: 570-601-2200 Fax: 570-601-2202 | |
Open Arms Internal Medicine & Pediatrics, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3155 Lycoming Creek Rd, Williamsport, PA 17701 Phone: 570-244-1877 | |