Organization
LJUBISA M. STANKOVIC, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LJUBISA MIHAJLO STANKOVIC M.D. (PRESIDENT)
(717) 763-4383
Entity
Organization
Contact information
Practice address
797 POPLAR CHURCH RD, CAMP HILL, PA 17011-2314
(717) 763-4383
(717) 763-4953
Mailing address
797 POPLAR CHURCH RD, CAMP HILL, PA 17011-2314
(717) 763-4383
(717) 763-4953
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD037459L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007440400001
—
PA
01
—
443111398
RAILROAD MEDICARE
PA
01
—
50002585
CAPITAL BLUE CROSS
PA
01
—
MD037459L
STATE LICENCE
PA
01
—
ST025763
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/25/2007
Last updated
03/07/2023
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