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Organization
POTTSVILLE INTERNISTS ASSOCIATES, INC
Active
Organization
POTTSVILLE INTERNISTS ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMRIT NARULA MD (PRESIDENT)
(570) 622-4209
Entity
Organization
Contact information
Practice address
106 S CLAUDE A LORD BLVD, POTTSVILLE, PA 17901-3637
(570) 622-4209
(570) 622-1386
Mailing address
106 S CLAUDE A LORD BLVD, POTTSVILLE, PA 17901-3637
(570) 622-4209
(570) 622-1386
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RN0300X
Nephrology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000004816
BLUE SHIELD
PA
01
—
02325800
CAPITAL BLUE CROSS
PA
05
—
1007356150001
—
PA
Enumeration date
02/07/2006
Last updated
05/19/2010
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