Organization
BELVEDERE MEDICAL CORPORATION
Active
Other names
BMC Dermatology Ong
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE P BRANSCUM JR. MD (PRESIDENT)
(717) 243-1515
Entity
Organization
Contact information
Practice address
BMC DERMATOLOGY ONG, 850 WALNUT BOTTOM ROAD, CARLISLE, PA 17013-3632
(717) 245-0272
(717) 243-2357
Mailing address
850 WALNUT BOTTOM ROAD, BELVEDERE MEDICAL CORPORATION, CARLISLE, PA 17013-3698
(717) 245-0272
(717) 243-2357
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006561610001
—
PA
01
—
50000624
CAP BLUE CROSS
PA
01
—
821504
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/21/2006
Last updated
11/02/2007
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