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Organization
GREEN HILLS FAMILY HEALTH CARE INC
Active
Organization
GREEN HILLS FAMILY HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LEGG GORBA DO (PHYSICIAN PRESIDENT)
(610) 530-9155
Entity
Organization
Contact information
Practice address
1150 GLENLIVET DRIVE, SUITE A17, ALLENTOWN, PA 18106
(610) 530-9155
(610) 530-4495
Mailing address
1150 GLENLIVET DRIVE, SUITE A17, ALLENTOWN, PA 18106
(610) 530-9155
(610) 530-4495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080195420
PALMETTO GBA
—
01
—
1464675
HIGHMARK BLUE SHIELD
—
01
—
50011842
CAPITAL BLUE CROSS
PA
01
—
F87264
UPIN
—
Enumeration date
04/10/2006
Last updated
08/04/2010
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