Organization
NITIN V SHETH MD LLC
Active
Organization
NITIN V SHETH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NITIN VASANTRAI SHETH MD (OWNER / MANAGER)
(717) 953-9571
Entity
Organization
Contact information
Practice address
6 N DORCAS ST, LEWISTOWN, PA 17044-1737
(717) 953-9571
(717) 953-9576
Mailing address
6 N DORCAS ST, LEWISTOWN, PA 17044-1737
(732) 725-8675
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MD037225E
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
MD037225E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010619960009
—
PA
Enumeration date
02/10/2011
Last updated
06/19/2024
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