Organization
ABBOTTSTOWN MEDICAL CENTER PC
Active
Other names
Hillside Medical Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALID AQUIL SIDDIQUI MD (PRESIDENT)
(717) 637-2100
Entity
Organization
Contact information
Practice address
250 FAME AVENUE, SUITE 203, HANOVER, PA 17331
(717) 637-2100
(717) 637-2301
Mailing address
250 FAME AVENUE, SUITE 230, HANOVER, PA 17331
(717) 637-2100
(717) 637-2301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 052832 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01564529
—
PA
Enumeration date
08/16/2006
Last updated
02/17/2011
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