Individual
EFREM BOLANO MAGTAGNOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 270-4876
(717) 270-3875
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C1-0010089
DE
207R00000X
Internal Medicine Physician
MD454977
PA
208M00000X
Hospitalist Physician
Primary
MD454977
PA
282N00000X
General Acute Care Hospital
C1-0010089
DE
314000000X
Skilled Nursing Facility
C1-0010089
DE
Other
Enumeration date
09/08/2011
Last updated
12/10/2024
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