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Organization

SLEEP DISORDER CENTERS OF CENTRAL PENNSYLVANIA, INC.

Active
Other names
Clark and Shahinian Pulmonary Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY A CLARK MD (PRESIDENT CEO)
(717) 724-2791
Entity
Organization

Contact information

Practice address
2250 MILLENIUM WAY, STE 400, ENOLA, PA 17025
(717) 724-2791
Mailing address
2250 MILLENIUM WAY, SUITE 400, ENOLA, PA 17025-1488
(717) 724-2791

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1539407
GATEWAY
01
1587005
HIGHMARK
01
245815
HEALTH AMERICA
01
348850
AETNA HMO
01
50036957
CAPITAL BLUE CROSS
01
7108552
AETNA NON HMO
Enumeration date
07/22/2006
Last updated
11/07/2007
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