Individual
MR. GEORGE R. NEWCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
446 N READING RD, SUITE 301, EPHRATA, PA 17522-9802
(717) 733-6546
Mailing address
446 N READING RD, SUITE 301, EPHRATA, PA 17522-9802
(717) 733-6546
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP009097
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028958600001
—
PA
01
—
177990R1X
MEDICARE
PA
Enumeration date
06/10/2008
Last updated
05/18/2015
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