Organization
GAUDENZIA
Active
Other names
Gaudenzia Lewisburg Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (SR. CONTRACTING MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
480 HAFER RD, LEWISBURG, PA 17837-7413
(570) 524-3884
(570) 768-4779
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
607058
PA
Other
Enumeration date
05/17/2016
Last updated
02/16/2022
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