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Organization
BELVEDERE MEDICAL CORPORATION
Active
Organization
BELVEDERE MEDICAL CORPORATION
Active
Other names
BMC Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE P BRANSCUM JR. MD (PRESIDENT)
(717) 243-1515
Entity
Organization
Contact information
Practice address
850 WALNUT BOTTOM ROAD, HOLLEN KRETZING, CARLISLE, PA 17013-3632
(717) 243-1515
(717) 243-7171
Mailing address
850 WALNUT BOTTOM ROAD, HOLLEN KRETZING, CARLISLE, PA 17013-3632
(717) 243-1515
(717) 243-7171
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
05
—
0006561610001
—
PA
01
—
037595
HIGHMARK BLUE SHIELD
PA
01
—
50000727
CAP BLUE CROSS
PA
Enumeration date
08/21/2006
Last updated
11/02/2007
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