Individual
IRA J PACKMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 LOWTHER ST, INTERNISTS OF CENTRAL PA LTD, LEMOYNE, PA 17043-2045
(717) 774-1366
(717) 774-4232
Mailing address
108 LOWTHER ST, INTERNISTS OF CENTRAL PA LTD, LEMOYNE, PA 17043-2045
(717) 774-1366
(717) 774-4232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD018087E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010609610001
—
PA
Enumeration date
11/03/2005
Last updated
07/08/2007
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