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Organization

TRUE LTC 102 PC

Active
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Organization

TRUE LTC 102 PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL C FORD (SENIOR DIRECTOR OF OPERATIONS)
(484) 643-2629
Entity
Organization

Contact information

Practice address
187 HOSPITAL DR, TYRONE, PA 16686-1808
(443) 465-8088
Mailing address
15 TREMBLANT CT, LUTHERVILLE TIMONIUM, MD 21093-3747
(443) 465-8088

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
07/09/2026
Last updated
07/09/2026
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