Organization
LEWISBURG PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAM R STOLTZFUS M.D. (PEDIATRICIAN)
(570) 523-3264
Entity
Organization
Contact information
Practice address
55 MEDICAL PARK DR, LEWISBURG, PA 17837-6343
(570) 523-3264
(570) 523-3465
Mailing address
55 MEDICAL PARK DR, LEWISBURG, PA 17837-6343
(570) 523-3264
(570) 523-3465
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008830340003
—
PA
Enumeration date
09/07/2005
Last updated
10/06/2015
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