Individual
J. HAROLD MOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LANCASTER INTERNAL MEDICINE GROUP, 817 NORTH CHERRY STREET, LANCASTER, PA 17602
(717) 393-8131
(717) 393-9107
Mailing address
LANCASTER INTERNAL MEDICINE GROUP, 817 NORTH CHERRY STREET, LANCASTER, PA 17602
(717) 393-8131
(717) 393-9107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
021856E
PA
207RN0300X
Nephrology Physician
021856E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006942060002
—
PA
01
—
01324501
CAPITAL BLUE CROSS PROV#
PA
01
—
106758
BLUE SHIELD PROVIDER #
PA
01
—
23656
GEISINGER HEALTHPLAN PROV
PA
01
—
695177
AETNA US HEALTHCARE PROVI
PA
01
—
73008804002
CIGNA PROVIDER NUMBER
PA
Enumeration date
06/08/2005
Last updated
06/16/2010
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