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Organization
NORTHERN LANCASTER COUNTY MEDICAL GROUP
Active
Organization
NORTHERN LANCASTER COUNTY MEDICAL GROUP
Active
Other names
Denver Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA MALIZIA (VP OF NLCMG)
(717) 738-2280
Entity
Organization
Contact information
Practice address
63 W CHURCH ST, STEVENS, PA 17578-9203
(717) 335-3311
(717) 335-3315
Mailing address
63 W CHURCH ST, STEVENS, PA 17578-9203
(717) 335-3311
(717) 335-3315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
193400000X
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013977730005
—
PA
01
—
1746265
BLUE SHIELD
PA
01
—
DD6938
RAILROAD MEDICARE
PA
Enumeration date
06/11/2006
Last updated
03/12/2008
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