Organization
GAUDENZIA
Active
Other names
GAUDENZIA FULTON OUTPATIENT
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (SR. CONTRACTING MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
201 LINCOLN WAY W, MC CONNELLSBURG, PA 17233-1319
(717) 325-4855
(717) 325-0444
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
(610) 275-7025
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
05/08/2021
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