Organization
ACTIVE INTEGRATED MEDICAL CENTERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DURR (AUTHORIZED OFFICIAL)
(610) 518-3370
Entity
Organization
Contact information
Practice address
555 E CHOCOLATE AVE STE 201, HERSHEY, PA 17033-1334
(717) 298-6342
Mailing address
797 E LANCASTER AVE STE 7, DOWNINGTOWN, PA 19335-3360
(610) 518-3370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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