Organization
HANOVER SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA A HAUGH (PRACTICE MANAGER)
(717) 677-4258
Entity
Organization
Contact information
Practice address
400 YORK ST, HANOVER, PA 17331-3357
(717) 637-8955
(717) 637-6376
Mailing address
400 YORK ST, HANOVER, PA 17331-3357
(717) 637-8955
(717) 637-6376
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD016695E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006975490001
—
PA
01
—
02308000
CAPITAL BLUE CROSS
PA
01
—
98225
HIGHMARK BLUE SHIELD
PA
Enumeration date
10/17/2006
Last updated
10/20/2008
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