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Organization
NEW WILMINGTON FAMILY MEDICINE ASSOCIATES P C
Active
Organization
NEW WILMINGTON FAMILY MEDICINE ASSOCIATES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY FREDERICK UBERTI M.D. (PRESIDENT)
(724) 946-8979
Entity
Organization
Contact information
Practice address
3438 STATE ROUTE 208, NEW WILMINGTON, PA 16142-1012
(724) 946-8979
(724) 946-2938
Mailing address
3438 STATE ROUTE 208, NEW WILMINGTON, PA 16142-1012
(724) 946-8979
(724) 946-2938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018021010003
—
PA
01
—
057756
BLUE SHIELD PROVIDER NO.
PA
Enumeration date
08/19/2006
Last updated
01/15/2013
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