Organization
MID PENN ANESTHESIA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE TENEDIOS MD (PRESIDENT)
(717) 263-5562
Entity
Organization
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9314
(570) 522-2629
Mailing address
PO BOX 947, CHAMBERSBURG, PA 17201-0947
(717) 263-5562
(717) 263-1566
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
PA
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017575800002
—
PA
Enumeration date
08/02/2005
Last updated
07/21/2022
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