Organization
ABBOTTSTOWN MEDICAL CENTER PC
Active
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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