Organization
PENNSBORO PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BLUTSTEIN MD (MANAGER)
(717) 732-7171
Entity
Organization
Contact information
Practice address
125 N ENOLA DR, STE 101, ENOLA, PA 17025-2500
(717) 732-7171
(717) 732-8872
Mailing address
125 N ENOLA DR, STE 101, ENOLA, PA 17025-2500
(717) 732-7171
(717) 732-8872
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/16/2006
Last updated
08/22/2020
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