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531 Broad St Montoursville PA 17754-2338 | |
(570) 368-2235 | |
(570) 368-3932 |
Full Name | |
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Speciality | Family Medicine |
Location | 531 Broad St, Montoursville, 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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1205 Grampian Blvd Po Box 3127 Williamsport PA 17701-1978 Ph: () - | 531 Broad St Montoursville PA 17754-2338 Ph: (570) 368-2235 |
NPI Number | 1700805850 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1700805850 | NPI | - | NPPES |
880690 | Other | PA | HIGHMARK BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Geisinger-hm Joint Venture, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Choate Cir, Montoursville, PA 17754 Phone: 570-368-5566 Fax: 570-368-5564 | |
Susquehanna Gastroenterology Associates, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Choate Circle, Montoursville, PA 17754 Phone: 570-368-5566 Fax: 570-368-5564 | |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 780 Broad St, Montoursville, PA 17754 Phone: 570-368-4466 | |