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Organization
SOUTHERN BERKS FAMILY MEDICINE, PC
Active
Organization
SOUTHERN BERKS FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T GIVENS M.D. (PRESIDENT)
(610) 779-8951
Entity
Organization
Contact information
Practice address
4885 DEMOSS RD, SUITE 201, READING, PA 19606-9023
(610) 779-8951
(610) 779-9487
Mailing address
PO BOX 4609, READING, PA 19606-0309
(610) 779-8951
(610) 779-9487
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018418800001
—
PA
Enumeration date
05/19/2006
Last updated
08/12/2010
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