# HERITAGE MEDICAL GROUP LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colonial Park Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609020932
- **Authorized official:** DR. JOSEPH A. CINCOTTA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (717) 761-0208

## Contact information

- **Practice address:** 4807 JONESTOWN RD, SUITE 141, HARRISBURG, PA 17109-1739
- **Practice address phone:** (717) 657-3030
- **Practice address fax:** (717) 671-0991
- **Mailing address:** 3 WALNUT ST, SUITE 206, LEMOYNE, PA 17043-1168
- **Mailing address phone:** (717) 761-0208
- **Mailing address fax:** (717) 761-2023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 11/13/2008
- **Last updated:** 06/02/2009