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2134 W 4th St Williamsport PA 17701-4344 | |
(570) 321-9009 | |
(570) 321-6761 |
Full Name | |
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Speciality | Family Medicine |
Location | 2134 W 4th St, 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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1205 Grampian Blvd Po Box 3127 Williamsport PA 17701-1978 Ph: () - | 2134 W 4th St Williamsport PA 17701-4344 Ph: (570) 321-9009 |
NPI Number | 1780603837 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 01/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780603837 | NPI | - | NPPES |
880576 | Other | PA | HIGHMARK BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | (* (Not Available)) | Secondary |
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 | |