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446 N Reading Rd Suite 301 Ephrata PA 17522-9802 | |
(717) 733-6546 | |
(717) 733-6011 |
Full Name | |
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Speciality | Internal Medicine |
Location | 446 N Reading Rd, Ephrata, 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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4131 Oregon Pike Suite C Ephrata PA 17522-9550 Ph: (717) 859-5161 | 446 N Reading Rd Suite 301 Ephrata PA 17522-9802 Ph: (717) 733-6546 |
NPI Number | 1962767012 |
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Provider Enumeration Date | 07/05/2012 |
Last Update Date | 05/27/2015 |
Identifier | Type | State | Issuer |
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1962767012 | NPI | - | NPPES |
1013977730021 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |