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Individual

DALE HURSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2110 HARRISBURG PIKE, SUITE 300, LANCASTER, PA 17601-2644
(717) 544-3022
(717) 544-3021
Mailing address
2110 HARRISBURG PIKE, SUITE 300, LANCASTER, PA 17601-2644
(717) 544-3022
(717) 544-3021

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD044649L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000718505
HIGHMARK
PA
05
001279338 0014
PA
01
0555449000
INDEPENDENCE BLUE CROSS
PA
01
080174701
RR MEDICARE
PA
01
1417248
AETNA-HMO
PA
01
2069914
MERCY
PA
01
40246
GEISINGER
PA
01
50055979
CAPITAL BLUE CROSS
PA
01
5495042
AETNA-NON HMO
PA
01
P002392
GATEWAY
PA
Enumeration date
04/19/2006
Last updated
04/12/2011
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