Organization
CARLISLE PEDIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN J KREBS M.D. (PRESIDENT)
(717) 243-1653
Entity
Organization
Contact information
Practice address
804 BELVEDERE ST, CARLISLE, PA 17013-4001
(717) 243-1653
(717) 243-6708
Mailing address
804 BELVEDERE ST, CARLISLE, PA 17013-4001
(717) 243-1653
(717) 243-6708
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010058070001
—
PA
01
—
0153762
HIGHMARK PROVIDER NUMBER
PA
01
—
02582300
CAPITOL BLU E CROSS PROVI
PA
01
—
1040706
GATEWAY PROVIDER NUMBER
PA
01
—
61860
AETNA PROVIDER NUMBER
PA
Enumeration date
05/25/2006
Last updated
08/22/2020
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