Organization
PULMONARY & CRITICAL CARE MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON ALEXANDER MBA, MFS, FACHE (EXECUTIVE DIRECTOR)
(717) 234-2561
Entity
Organization
Contact information
Practice address
50 N 12TH ST, LEMOYNE, PA 17043-1428
(717) 234-2561
(717) 236-1121
Mailing address
50 N 12TH ST, LEMOYNE, PA 17043-1428
(717) 234-2561
(717) 236-1121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
PA
207RP1001X
Pulmonary Disease Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022317
BLUE SHIELD
PA
Enumeration date
03/16/2006
Last updated
07/21/2022
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