Organization
CENTRAL PA EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERHARD SENULA MD (MEDICAL DIRECTOR)
(570) 321-2000
Entity
Organization
Contact information
Practice address
777 RURAL AVE, WILLIAMSPORT, PA 17701-3109
(570) 321-2000
(570) 321-2018
Mailing address
100 WITMER RD, SUITE 220, HORSHAM, PA 19044-2211
(215) 442-5051
(215) 957-2875
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019701160001
—
PA
01
—
1500288
BLUE SHIELD
PA
Enumeration date
05/12/2006
Last updated
04/20/2008
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