# MID PENN ANESTHESIA P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154322121
- **Authorized official:** GEORGE TENEDIOS MD (PRESIDENT)
- **Authorized official phone:** (717) 263-5562

## Contact information

- **Practice address:** 1 HOSPITAL DR, LEWISBURG, PA 17837-9314
- **Practice address phone:** (570) 522-2629
- **Mailing address:** PO BOX 947, CHAMBERSBURG, PA 17201-0947
- **Mailing address phone:** (717) 263-5562
- **Mailing address fax:** (717) 263-1566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | PA | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | PA | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 07/21/2022