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Organization

PENNSYLVANIA INSTITUTE OF ENDOCRINOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIPU FAIZ M. SALEEM MD (OWNER)
(717) 568-8886
Entity
Organization

Contact information

Practice address
1575 HIGHLANDS DR, SUITE 206, LITITZ, PA 17543-7507
(717) 568-8886
(717) 627-2727
Mailing address
1575 HIGHLANDS DR, SUITE 206, LITITZ, PA 17543-7507
(717) 568-8886
(717) 627-2727

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102656403-0001
PA
Enumeration date
11/04/2011
Last updated
09/28/2016
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