Organization
CUSTOM CARE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVA KUNZ ADMINISTRATOR (BILLING ADMINISTRATOR)
(717) 564-0564
Entity
Organization
Contact information
Practice address
463 E MAIN AVE, MYERSTOWN, PA 17067-2226
(717) 272-4967
(717) 564-3135
Mailing address
463 E MAIN AVE, MYERSTOWN, PA 17067-2226
(717) 272-4967
(717) 564-3135
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BL5564340
PA
Other
Enumeration date
02/20/2007
Last updated
06/23/2010
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