Organization
HANOVER HEALTH CORPORATION, INC
Active
Other names
Vipul Shah, MD.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN A. OLEJNIK (CHIEF FINANCIAL OFFICER)
(717) 633-3511
Entity
Organization
Contact information
Practice address
3130 GRANDVIEW RD, HANOVER, PA 17331-9134
(717) 632-2088
(717) 637-9482
Mailing address
3130 GRANDVIEW RD, HANOVER, PA 17331-9134
(717) 632-2088
(717) 637-9482
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007777780013
—
PA
Enumeration date
01/07/2008
Last updated
12/19/2008
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