Individual
CHARLES DAVID HAVERSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1022 N UNION ST, MIDDLETOWN, PA 17057-2158
(717) 944-0491
(717) 944-1436
Mailing address
1700 S LINCOLN AVE, 1ST FLOOR, LEBANON, PA 17042-7529
(717) 272-6621
(717) 228-6045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD044371E
PA
Other
Enumeration date
04/03/2006
Last updated
02/23/2017
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