Organization
GSLPG, INC
Active
Other names
GSLPG Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS P LICHTENWALNER (SENIOR VP FINANCE)
(484) 526-4000
Entity
Organization
Contact information
Practice address
100 PARAMOUNT BOULEVARD, ORWIGSBURG, PA 17961-0001
(484) 526-4000
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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