Organization
MEDICAL ARTS ALLERGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE NOVAK (PRACTICE ADMINISTRATOR)
(717) 243-3103
Entity
Organization
Contact information
Practice address
220 WILSON ST, SUITE 200, CARLISLE, PA 17013-3697
(717) 243-3103
(717) 218-0391
Mailing address
220 WILSON ST, SUITE 200, CARLISLE, PA 17013-3697
(717) 243-3103
(717) 218-0391
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02860700
CAPITAL BLUE CROSS GROUP
PA
01
—
1527052
HIGHMARK BLUE SHIELD GP
PA
Enumeration date
05/01/2006
Last updated
04/06/2017
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