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Individual

RAYMOND E PEART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
231 GRANITE RUN DR, LANCASTER, PA 17601-6823
(717) 560-4200
(717) 560-4159
Mailing address
231 GRANITE RUN DR, LANCASTER, PA 17601-6823
(717) 560-4200
(717) 560-4159

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD032496E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200030743
RAILROAD MEDICARE
PA
01
559774
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/09/2005
Last updated
03/09/2010
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