Organization
GARY A SAMBERG DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY AARON SAMBERG (OWNER)
(717) 284-3137
Entity
Organization
Contact information
Practice address
34 FAWN DR, QUARRYVILLE, PA 17566
(717) 284-3137
(717) 284-4164
Mailing address
34 FAWN DR, QUARRYVILLE, PA 17566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203409937
INDEPENDENCE BLUE CROSS
PA
Enumeration date
06/10/2008
Last updated
06/10/2008
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