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Organization
MAIN STREET FAMILY MEDICINE OF SPRING GROVE, INC.
Active
Organization
MAIN STREET FAMILY MEDICINE OF SPRING GROVE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUNEET KUMAR GUPTA D.O. (PHYSICIAN)
(717) 225-3610
Entity
Organization
Contact information
Practice address
285 N MAIN ST, SPRING GROVE, PA 17362-1134
(717) 225-3610
(717) 225-7294
Mailing address
285 N MAIN ST, SPRING GROVE, PA 17362-1134
(717) 225-3610
(717) 225-7294
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS010558L
PA
Other
Enumeration date
01/09/2007
Last updated
12/10/2007
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