Organization
CLAYSBURG MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD WILLIAM BULGER M.D. (PRESIDENT)
(814) 239-2211
Entity
Organization
Contact information
Practice address
365 WARD DRIVE, CLAYSBURG, PA 16625-9742
(814) 239-2211
(814) 239-8116
Mailing address
365 WARD DRIVE, PO BOX 267, CLAYSBURG, PA 16625-9742
(814) 239-2211
(814) 239-8116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076155
HIGHMARK BLUE SHIELD
PA
05
—
1007787570006
—
PA
Enumeration date
06/06/2006
Last updated
02/12/2009
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