Individual
DR. GEORGE T LOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1251 E MAIN ST, ANNVILLE, PA 17003-1643
(717) 867-4671
(717) 867-4981
Mailing address
1251 E MAIN ST, ANNVILLE, PA 17003-1643
(717) 867-4671
(717) 867-4981
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS002780L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000719440
—
PA
Enumeration date
06/10/2005
Last updated
01/29/2021
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