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Organization

FAIRWAY MEDICAL ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL Q BRICKER MD (PHYSICIAN)
(717) 264-6511
Entity
Organization

Contact information

Practice address
144 S 8TH ST, SUITE 111, CHAMBERSBURG, PA 17201-2767
(717) 264-6511
(717) 264-1081
Mailing address
144 S 8TH ST, SUITE 111, CHAMBERSBURG, PA 17201-2755
(717) 264-6511
(717) 264-1081

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009928520001
PA
Enumeration date
06/03/2006
Last updated
10/30/2014
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