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Organization
NORTHERN LANCASTER COUNTY MEDICAL GROUP
Active
Organization
NORTHERN LANCASTER COUNTY MEDICAL GROUP
Active
Other names
Internal Medicine Associates of Ephrata
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MALIZIA (VP NORTHERN LANC CO MEDICAL GROUP)
(717) 738-2280
Entity
Organization
Contact information
Practice address
808 PLEASANTVIEW DR, EPHRATA, PA 17522-1644
(717) 733-6518
(717) 733-8613
Mailing address
PO BOX 398, BROWNSTOWN, PA 17508-0398
(717) 859-2038
(717) 859-2803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013977730015
—
PA
01
—
1746271
BLUE SHIELD
PA
01
—
DD6938
RAILROAD MEDICARE
PA
Enumeration date
08/04/2006
Last updated
02/25/2009
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