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Organization
WYNTRE BROOK SURGICAL ASSOCIATES, PC
Active
Organization
WYNTRE BROOK SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKHILESH AGARWAL MD (DIRECTOR/ACTIVE,ATTENDING)
(717) 812-2921
Entity
Organization
Contact information
Practice address
1399 S QUEEN ST, LOWER LEVEL, YORK, PA 17403-3840
(717) 812-2921
(717) 812-2921
Mailing address
1399 S QUEEN ST, LOWER LEVEL, YORK, PA 17403-3840
(717) 812-2921
(717) 812-2921
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
MD024908E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012711600001
—
PA
Enumeration date
08/23/2005
Last updated
08/22/2020
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