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Organization
MCSHERRYSTOWN FAMILY PRACTICE PC
Active
Organization
MCSHERRYSTOWN FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL C HESS D.O. (PRESIDENT)
(717) 637-4188
Entity
Organization
Contact information
Practice address
70 ACADEMY ST, MC SHERRYSTOWN, PA 17344-2116
(717) 637-4188
(717) 637-7803
Mailing address
70 ACADEMY ST, MC SHERRYSTOWN, PA 17344-2116
(717) 637-4188
(717) 637-7803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1243569
—
PA
05
—
1596587
—
PA
01
—
582297
MEDICARE LEGACY NUMBER
PA
Enumeration date
06/03/2006
Last updated
05/10/2010
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