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2320 Rothsville Rd Suite 200 Lititz PA 17543-8215 | |
(717) 721-4800 | |
(717) 626-1613 |
Full Name | |
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Speciality | Family Medicine |
Location | 2320 Rothsville Rd, Lititz, Pennsylvania |
Authorized Official Name and Position | Charles David Noll (SENIOR PRACTICE MANAGER) |
Authorized Official Contact | 7178595161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4131 Oregon Pike Suite C Ephrata PA 17522-9550 Ph: (717) 859-5161 | 2320 Rothsville Rd Suite 200 Lititz PA 17543-8215 Ph: (717) 721-4800 |
NPI Number | 1750325189 |
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Provider Enumeration Date | 06/15/2006 |
Last Update Date | 05/28/2015 |
Identifier | Type | State | Issuer |
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1750325189 | NPI | - | NPPES |
1746277 | Other | PA | BLUE SHIELD |
1013977730011 | Medicaid | PA | |
DD6938 | Other | PA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 193400000X (Pennsylvania) | Primary |
Pennsylvania Institute Of Endocrinology Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1575 Highlands Dr, Suite 206, Lititz, PA 17543 Phone: 717-568-8886 Fax: 717-627-2727 | |