Organization
NORTHERN LANCASTER COUNTY MEDICAL GROUP
Active
Other names
Grace Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA MALIZIA (VICE-PRESIDENT)
(717) 738-2280
Entity
Organization
Contact information
Practice address
100 HIGHLANDS DR, SUITE 204, LITITZ, PA 17543-7693
(717) 626-5437
Mailing address
PO BOX 398, BROWNSTOWN, PA 17508-0398
(717) 859-2038
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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