Organization
CHERRY TREE PHYSICIAN ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KLEYHAUER (DIRECTOR)
(717) 741-8100
Entity
Organization
Contact information
Practice address
773 CHERRY TREE CT, HANOVER, PA 17331-7902
(717) 741-8100
Mailing address
1020A E BOAL AVE, BOALSBURG, PA 16827-1509
(814) 237-8627
(814) 238-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017303250002
—
PA
01
—
122452
THREE RIVERS HEALTH PLAN
PA
01
—
1525714
GATEWAY
PA
01
—
2586800
CAPITAL BC
PA
01
—
263000
MAMSI
PA
01
—
383789
BCBS HIGHMARK
PA
01
—
993971
KEYSTONE HPC
PA
Enumeration date
12/19/2005
Last updated
07/21/2022
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