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Organization
GOOD SAMARITAN PHYSICIAN SERVICES
Active
Organization
GOOD SAMARITAN PHYSICIAN SERVICES
Active
Other names
Good Samaritan Emergency Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN S MARTIN (MANAGER)
(717) 270-3821
Entity
Organization
Contact information
Practice address
4TH & WALNUT STREET, LEBANON, PA 17042
(717) 270-7612
(717) 270-3790
Mailing address
PO BOX 300, 4TH AND WALNUT STREETS, LEBANON, PA 17042-0300
(717) 272-4190
(717) 272-4532
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/05/2013
Last updated
08/07/2013
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