Organization
WAYNESBORO MEDICAL ASSOCIATES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENHANZEB QURESHI MD (OWNER)
(717) 749-0150
Entity
Organization
Contact information
Practice address
12104 BUCHANAN TRAIL EAST, WAYNESBORO, PA 17268
(717) 749-0150
(717) 749-0153
Mailing address
12104 BUCHANAN TRAIL EAST, WAYNESBORO, PA 17268
(717) 749-0150
(717) 749-0153
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD059027-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001909654000
—
PA
Enumeration date
08/16/2006
Last updated
10/06/2008
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