Organization
HANOVER CARDIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE S FREER MD, PHD (PHYSICIAN)
(717) 476-4533
Entity
Organization
Contact information
Practice address
100 PENN ST, HANOVER, PA 17331-1956
(717) 639-2626
Mailing address
100 PENN ST, HANOVER, PA 17331-1956
(717) 639-2626
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD036213E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001057554
—
PA
Enumeration date
05/04/2015
Last updated
05/19/2015
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