| |
264 Granite Run Dr Lancaster PA 17601-6804 | |
(717) 721-8205 | |
(717) 721-8251 |
Full Name | |
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Speciality | Family Medicine |
Location | 264 Granite Run Dr, Lancaster, Pennsylvania |
Authorized Official Name and Position | Charles David Noll (VICE PRESIDENT) |
Authorized Official Contact | 7178595161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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264 Granite Run Dr Lancaster PA 17601-6804 Ph: (717) 721-8205 | 264 Granite Run Dr Lancaster PA 17601-6804 Ph: (717) 721-8205 |
NPI Number | 1184888778 |
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Provider Enumeration Date | 07/14/2008 |
Last Update Date | 10/15/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184888778 | NPI | - | NPPES |
1013977730021 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD032838L (Pennsylvania) | Primary |
John A. Palumbo, M.d. & Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Oregon Pike, Suite 1201, Lancaster, PA 17601 Phone: 717-295-3012 Fax: 717-295-3014 | |
Wound Medicine Of Central Pennsylvania Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 N Pine St, Lancaster, PA 17603 Phone: 631-828-4920 | |
Avalon Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2160 Lincoln Hwy E Ste 1-a4, Lancaster, PA 17602 Phone: 717-899-8113 Fax: 717-617-2476 | |