Organization
SLEEP DISORDER CENTERS OF CENTRAL PENNSYLVANIA, INC.
Active
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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