Individual
DOUGLAS A OCKRYMIEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
790 NEW HOLLAND AVE, LANCASTER, PA 17602-2137
(717) 390-0353
(717) 390-1812
Mailing address
320 HIGHLAND DR, MOUNTVILLE, PA 17554-1232
(717) 285-7121
(717) 285-5302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS004324L
PA
2084P0805X
Geriatric Psychiatry Physician
OS004324L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000957497
—
PA
01
—
115435
PA BLUE SHIELD
PA
01
—
2095770
CIGNA BEHAV HEALTH
PA
01
—
50052373
CAPITAL BLUE CROSS
PA
Enumeration date
06/20/2006
Last updated
12/15/2011
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