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Organization
PINE GROVE INTERNAL MEDICINE, INC.
Active
Organization
PINE GROVE INTERNAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA A JACOBUS M.D. (PHYSICIAN)
(717) 741-5600
Entity
Organization
Contact information
Practice address
1938 SECURITY DR, YORK, PA 17402-4727
(717) 741-5600
(717) 741-6750
Mailing address
1938 SECURITY DR, YORK, PA 17402-4727
(717) 741-5600
(717) 741-6750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD034489E
PA
Other
Enumeration date
09/01/2006
Last updated
02/04/2011
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