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Individual

GLENN B. MIESZKALSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4300 LONDONDERRY RD LOWR LEVEL, HARRISBURG, PA 17109-5317
(717) 724-6740
(717) 724-6741
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 231-8937
(717) 231-8588

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
MD049823L
PA
2085R0001X
Radiation Oncology Physician
Primary
MD049823L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101107828
PA
Enumeration date
08/21/2006
Last updated
01/27/2021
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