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Organization
SCHUYLKILL VALLEY FAMILY PRACTICE PC
Active
Organization
SCHUYLKILL VALLEY FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY C TUKE MD (PHYSICIAN PRESIDENT)
(610) 926-5707
Entity
Organization
Contact information
Practice address
5 S CENTRE AVENUE, LEESPORT, PA 19533
(610) 926-5707
(610) 926-8352
Mailing address
PO BOX 754, LEESPORT, PA 19533
(610) 926-5707
(610) 926-8352
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019244180001
—
PA
01
—
0037
AETNA
PA
01
—
02329200
CAPITAL BLUE CROSS
PA
01
—
100278
AMERIHEALTH MERCY
PA
01
—
129142
HIGHMARK BLUE SHIELD
PA
01
—
95986
HEALTH ASSURANCE AMERICA
PA
01
—
CF7991
PALMETTO RAILROAD MEDICAR
PA
Enumeration date
04/18/2006
Last updated
08/22/2020
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