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Organization

DUILIO VALDIVIA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DUILIO VALDIVIA MD (PRESIDENT)
(717) 242-2594
Entity
Organization

Contact information

Practice address
27 SANDY LN, LEWISTOWN, PA 17044-1310
(717) 242-2594
Mailing address
27 SANDY LN, LEWISTOWN, PA 17044-1310
(717) 242-2594

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD022186E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000928225
PA
01
0400572
BLUE SHIELD
PA
01
13837
GMG
PA
01
400572
RAILROAD MEDICARE
PA
01
50047378
CBC SP
PA
01
6988
GEISINGER SPECIALIST
PA
Enumeration date
02/27/2007
Last updated
07/01/2010
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