Organization
DANVILLE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY B. ECKEL MD (OWNER)
(570) 275-3789
Entity
Organization
Contact information
Practice address
1410 BLOOM RD, DANVILLE, PA 17821-8501
(570) 275-3789
Mailing address
1410 BLOOM RD, DANVILLE, PA 17821-8501
(570) 275-3789
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD019417E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1928457
HIGHMARK PROVIDER NUMBER
PA
Enumeration date
04/12/2007
Last updated
07/10/2008
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