Organization
CORNERSTONE FAMILY HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES REDKA M.D. (PRESIDENT)
(570) 326-4118
Entity
Organization
Contact information
Practice address
1205 GRAMPIAN BLVD, SUITE 3, WILLIAMSPORT, PA 17701-1978
(570) 326-4118
(570) 326-5533
Mailing address
1205 GRAMPIAN BLVD, SUITE 3, WILLIAMSPORT, PA 17701-1978
(570) 326-4118
(570) 326-5533
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006325900001
—
PA
01
—
020833
AMERIHEALTH
PA
01
—
1002
FIRST PRIORITY HEALTH
PA
01
—
85252
AETNA
PA
01
—
C74266
PALMETTO/MC RAILROAD
PA
Enumeration date
01/17/2006
Last updated
11/18/2009
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