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Organization
PAOLI INTERNAL MEDICINE ASSOCIATES PC
Active
Organization
PAOLI INTERNAL MEDICINE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT MCANANY (OFFICE MANAGER)
(610) 647-8885
Entity
Organization
Contact information
Practice address
255 W LANCASTER AVE, 121 PAOLI MOB II, PAOLI, PA 19301-1763
(610) 647-8885
(610) 640-3832
Mailing address
255 W LANCASTER AVE, 121 PAOLI MOB II, PAOLI, PA 19301-1763
(610) 647-8885
(610) 640-3832
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012275740003
—
PA
01
—
CH9113
RAILROAD MEDICARE
PA
Enumeration date
03/17/2006
Last updated
07/16/2008
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