Organization
GAUDENZIA INC
Active
Other names
GAUDENZIA SUNBURY
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (SENIOR CONTRACTING MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
51 S 4TH ST, SUNBURY, PA 17801-2730
(570) 988-1901
(570) 988-2868
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
(610) 275-7025
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
497023
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002285890009
—
PA
Enumeration date
03/20/2007
Last updated
01/18/2022
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