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Organization
NORTHERN LANCASTER COUNTY MEDICAL GROUP
Active
Organization
NORTHERN LANCASTER COUNTY MEDICAL GROUP
Active
Other names
CONESTOGA FAMILY PRACTICE - ADAMSTOWN
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MALIZIA (V P NLCMG)
(717) 721-2280
Entity
Organization
Contact information
Practice address
JEFFERSON & WILLOW STREETS, ADAMSTOWN, PA 19501-0515
(717) 484-4347
(717) 484-0968
Mailing address
PO BOX 398, BROWNSTOWN, PA 17508-0398
(717) 859-2038
(717) 859-2803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013977730003
—
PA
01
—
1746292
BLUE SHIELD
PA
01
—
DD6938
RAILROAD MEDICARE
PA
Enumeration date
09/08/2006
Last updated
05/27/2008
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