Organization
COMMUNITY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA T ROTH PA-C (C.O.O)
(717) 652-7266
Entity
Organization
Contact information
Practice address
3601 N PROGRESS AVE, HARRISBURG, PA 17110-9100
(717) 652-7266
(717) 657-9734
Mailing address
3601 N PROGRESS AVE, HARRISBURG, PA 17110-9100
(717) 652-7266
(717) 652-5042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C14568
R R MEDICARE
PA
Enumeration date
08/20/2006
Last updated
06/20/2011
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