Organization
OB GYN ASSOCIATES OF LEWISBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL J STANKIEWICZ MD (PRESIDENT)
(570) 523-8700
Entity
Organization
Contact information
Practice address
3 HOSPITAL DR, SUITE 312, LEWISBURG, PA 17837-9362
(570) 523-8700
(570) 523-8705
Mailing address
3 HOSPITAL DR, SUITE 312, LEWISBURG, PA 17837-9362
(570) 523-8700
(570) 523-8705
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
040749B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015028300004
—
PA
Enumeration date
07/13/2006
Last updated
07/11/2007
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