Organization
GAUDENZIA INC
Active
Other names
GAUDENZIA HARRISBURG OUTPATIENT SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (SR. CONTRACTING MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
2039 N 2ND ST, HARRISBURG, PA 17102-2103
(717) 233-3424
(717) 233-6399
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
(610) 275-7025
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
227035
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002285890012
—
PA
05
—
1002285890013
—
PA
05
—
1002285890015
—
PA
05
—
1002285890057
—
PA
Enumeration date
03/20/2007
Last updated
12/13/2021
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