| Waynesboro Medical Associates,llc | |
|
12104 Buchanan Trail East Waynesboro PA 17268 | |
| (717) 749-0150 | |
| (717) 749-0153 |
| Full Name | Waynesboro Medical Associates,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12104 Buchanan Trail East, Waynesboro, Pennsylvania |
| Authorized Official Name and Position | Jenhanzeb Qureshi (OWNER) |
| Authorized Official Contact | 7177490150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waynesboro Medical Associates,llc 12104 Buchanan Trail East Waynesboro PA 17268 Ph: (717) 749-0150 | Waynesboro Medical Associates,llc 12104 Buchanan Trail East Waynesboro PA 17268 Ph: (717) 749-0150 |
| NPI Number | 1538272646 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 10/06/2008 |
| Medicare PECOS PAC ID | 4486646098 |
|---|---|
| Medicare Enrollment ID | O20040402000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538272646 | NPI | - | NPPES |
| 001909654000 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD059027-L (Pennsylvania) | Primary |
| Provider Name | Jehanzeb Qureshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871590836 PECOS PAC ID: 1759271497 Enrollment ID: I20040317000785 |
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