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Organization

TWIN RIVERS SURGICAL GROUP, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JUDITH LYNN DEPALMA CMM (MANAGER)
(610) 253-6201
Entity
Organization

Contact information

Practice address
3735 EASTON NAZARETH HWY, SUITE 203, EASTON, PA 18045-8338
(610) 253-6201
(610) 258-4705
Mailing address
3735 EASTON NAZARETH HWY, SUITE 203, EASTON, PA 18045-8338
(610) 253-6201
(610) 258-4705

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016052290005
PA
01
02282400
CAPITAL BLUE CROSS
PA
01
866601
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/05/2006
Last updated
08/22/2020
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