Organization
DIAKON MEDICAL GROUP LLC
Active
Organization
DIAKON MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT D HABECKER (EVP/COO/CFO)
(717) 795-0384
Entity
Organization
Contact information
Practice address
280 MIDDLE HOLLAND RD, HOLLAND, PA 18966-4822
(717) 795-0457
(717) 796-6801
Mailing address
1022 N UNION ST, MIDDLETOWN, PA 17057-2158
(717) 795-0384
(717) 795-0353
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
12/28/2016
Last updated
04/11/2019
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